Clinic
Advanced Primary & Behavioral Health LLC
Advanced Primary & Behavioral Health LLC was paid $291K by Medicaid between May 2021 and Dec 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.
33Billing provider infoADVANCED PRIMARY & BEHAVIORAL HEALTH LLC
RICHMOND, KY 40475
RICHMOND, KY 40475
33aNPI1497345235assigned 01/26/2021
33bProvider typeRural Health Clinic/Center
28Total paid$291K
24GClaims10,657
24DCodes billed9
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#158 of 265
Median peer was paid$400K
This provider vs. median0.7×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 550 | $14K | |
| 2022 | 2,421 | $62K | |
| 2023 | 4,213 | $119K | |
| 2024incomplete | 3,473 | $97K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 77% | 7,797 | 4,337 | $224K |
| 99490 | Ccm add 20min | 13% | 1,472 | 1,421 | $38K |
| 99443 | 3.6% | 146 | 105 | $10K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.0% | 135 | 115 | $9K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.0% | 189 | 137 | $6K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 203 | 189 | $1K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 29 | 25 | $948.66 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 21 | 15 | $817.62 |
| 36415 | Collection of venous blood by venipuncture | <1% | 665 | 563 | $637.13 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMCCLURE, HEATHER (SOLE MEMBER)