Clinic
Healthpoint Family Care INC
Healthpoint Family Care INC was paid $29.23M by Medicaid between Jan 2018 and Dec 2024, across 136 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoHEALTHPOINT FAMILY CARE INC
NEWPORT, KY 41071
NEWPORT, KY 41071
33aNPI1508889742assigned 07/26/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$29.23M
24GClaims1,415,768
24DCodes billed136
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Kentucky
Rank by total paid#3 of 37
Median peer was paid$1.29M
This provider vs. median23×
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 | |
|---|---|---|---|
| 2018 | 167,886 | $3.67M | |
| 2019 | 250,019 | $3.77M | |
| 2020 | 219,693 | $3.65M | |
| 2021 | 288,804 | $3.94M | |
| 2022 | 212,591 | $4.74M | |
| 2023 | 148,092 | $4.94M | |
| 2024incomplete | 128,683 | $4.52M |
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 | 33% | 295,494 | 255,391 | $9.59M |
| 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 | 7.7% | 44,452 | 39,085 | $2.24M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.9% | 80,081 | 69,393 | $2.00M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.3% | 35,303 | 33,394 | $1.26M |
| D0330 | Panoramic radiographic image | 4.2% | 30,780 | 27,917 | $1.23M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.0% | 16,396 | 15,798 | $1.18M |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 42,747 | 39,113 | $1.11M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 14,245 | 13,510 | $901K |
| D7140 | Extraction, erupted tooth or exposed root | 3.0% | 19,906 | 11,183 | $883K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.6% | 15,393 | 10,541 | $768K |
| D0140 | Limited oral evaluation - problem focused | 2.6% | 23,104 | 20,648 | $747K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 10,823 | 10,309 | $740K |
124 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.5% | 13,224 | $733K |
| 90461 | 2.0% | 18,815 | $591K | |
| D0274 | Bitewings - four radiographic images | 1.8% | 23,106 | $521K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 11,234 | $483K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 6,021 | $466K |
| D1110 | Prophylaxis - adult | 1.5% | 11,414 | $440K |
| D1120 | Dental cleaning, child | 1.2% | 8,053 | $343K |
| D1206 | Topical application of fluoride varnish | <1% | 17,470 | $237K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 3,730 | $235K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 3,683 | $194K |
| D0272 | Bitewings - two radiographic images | <1% | 11,284 | $184K |
| 99381 | <1% | 2,356 | $162K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 4,104 | $154K |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 39,008 | $145K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 4,829 | $137K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 10,373 | $136K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,611 | $134K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 15,525 | $131K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,352 | $104K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 7,485 | $100K |
| D1351 | Sealant - per tooth | <1% | 5,347 | $92K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,217 | $89K |
| 90686 | <1% | 18,565 | $88K | |
| 81025 | <1% | 13,533 | $81K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,126 | $63K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 878 | $60K |
| G0467 | Community health center visit, returning patient | <1% | 2,866 | $43K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,194 | $37K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 571 | $34K |
| D0120 | Dental checkup, returning patient | <1% | 901 | $23K |
| D2335 | <1% | 273 | $22K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 533 | $20K |
| 90837 | Psychotherapy session, about an hour | <1% | 283 | $19K |
| 92551 | <1% | 1,543 | $17K | |
| 81003 | <1% | 37,280 | $17K | |
| 85018 | <1% | 8,685 | $17K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 1,153 | $16K |
| D2394 | <1% | 206 | $16K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,203 | $12K |
| 99383 | <1% | 123 | $10K | |
| 0012A | <1% | 280 | $8K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 275 | $8K |
| 90670 | <1% | 10,841 | $8K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 78 | $8K |
| 90698 | <1% | 11,303 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 490 | $6K |
| 0011A | <1% | 291 | $6K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 170 | $6K |
| D2332 | <1% | 95 | $6K | |
| 90473 | <1% | 425 | $6K | |
| D4341 | <1% | 321 | $6K | |
| 0001A | <1% | 172 | $6K | |
| D2330 | <1% | 142 | $6K | |
| 0002A | <1% | 178 | $5K | |
| 90633 | <1% | 9,339 | $5K | |
| 99177 | <1% | 1,659 | $5K | |
| 90715 | <1% | 1,401 | $5K | |
| 90649 | <1% | 3,854 | $5K | |
| 92002 | <1% | 176 | $4K | |
| D7250 | <1% | 29 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 770 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 481 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 54 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 299 | $4K |
| 99201 | <1% | 125 | $4K | |
| 90732 | <1% | 63 | $3K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 102 | $3K |
| 90681 | <1% | 5,461 | $3K | |
| 99382 | <1% | 41 | $3K | |
| 99173 | <1% | 114 | $3K | |
| 90677 | <1% | 15 | $3K | |
| 90710 | <1% | 4,166 | $2K | |
| D2331 | <1% | 49 | $2K | |
| 99385 | <1% | 30 | $2K | |
| 90632 | <1% | 44 | $2K | |
| 90621 | <1% | 86 | $1K | |
| 90744 | <1% | 5,125 | $1K | |
| 90734 | <1% | 2,393 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 148 | $1K |
| 0071A | <1% | 27 | $1K | |
| 0081A | <1% | 26 | $1K | |
| 58300 | <1% | 26 | $916.94 | |
| 90648 | <1% | 2,271 | $901.90 | |
| 90688 | <1% | 8,010 | $647.82 | |
| 0031A | <1% | 17 | $640.00 | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 37 | $574.66 |
| 87210 | <1% | 114 | $540.20 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 13 | $525.92 |
| 90723 | <1% | 1,616 | $473.20 | |
| 82044 | <1% | 90 | $466.93 | |
| 0124A | <1% | 29 | $400.00 | |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | <1% | 126 | $362.25 |
| 90696 | <1% | 736 | $293.60 | |
| 0004A | <1% | 15 | $287.27 | |
| 81002 | <1% | 494 | $254.55 | |
| 90700 | <1% | 455 | $254.17 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 28 | $201.36 |
| 90707 | <1% | 344 | $124.11 | |
| 82947 | <1% | 32 | $105.84 | |
| 94760 | <1% | 75 | $66.49 | |
| 80305 | <1% | 1,008 | $44.37 | |
| 90716 | <1% | 312 | $36.80 | |
| 3074F | <1% | 128,180 | $31.08 | |
| 90620 | <1% | 68 | $6.60 | |
| G0008 | Administration of influenza virus vaccine | <1% | 18 | $4.53 |
| 90713 | <1% | 26 | $3.30 | |
| 90680 | <1% | 200 | $3.30 | |
| 1160F | 0% | 22,931 | $0.00 | |
| 3078F | 0% | 105,995 | $0.00 | |
| 4004F | 0% | 1,974 | $0.00 | |
| 3077F | 0% | 15,486 | $0.00 | |
| 1159F | 0% | 37,729 | $0.00 | |
| 91300 | 0% | 448 | $0.00 | |
| 3079F | 0% | 48,785 | $0.00 | |
| 3075F | 0% | 23,065 | $0.00 | |
| D0603 | 0% | 2,038 | $0.00 | |
| D0602 | 0% | 1,962 | $0.00 | |
| D0601 | 0% | 3,994 | $0.00 | |
| H0033 | Oral medication administration, direct observation | 0% | 329 | $0.00 |
| 91301 | 0% | 383 | $0.00 | |
| 3080F | 0% | 141 | $0.00 | |
| 91303 | 0% | 14 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 63 | $0.00 |
| D1330 | 0% | 72 | $0.00 |
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 officialSPRINKLE-JORDAN, SALLY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Healthpoint Family Care INC | Covington, KY | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.