Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KY › NEWPORT › HEALTHPOINT FAMILY CARE INC

HEALTHPOINT FAMILY CARE INC

NPI: 1508889742 · NEWPORT, KY 41071 · Federally Qualified Health Center (FQHC) · NPI assigned 07/26/2006

$29.23M
Total Medicaid Paid
1,415,768
Total Claims
1,243,822
Beneficiaries
136
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSPRINKLE-JORDAN, SALLY (CEO)
NPI Enumeration Date07/26/2006

Related Entities

Other providers sharing the same authorized official: SPRINKLE-JORDAN, SALLY

ProviderCityStateTotal Paid
HEALTHPOINT FAMILY CARE INC COVINGTON KY $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 128,683 $4.52M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 295,494 255,391 $9.59M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 44,452 39,085 $2.24M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 80,081 69,393 $2.00M
90460 Immunization administration through 18 years of age via any route, first or only component 35,303 33,394 $1.26M
D0330 Panoramic radiographic image 30,780 27,917 $1.23M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16,396 15,798 $1.18M
D0150 Comprehensive oral evaluation - new or established patient 42,747 39,113 $1.11M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 14,245 13,510 $901K
D7140 Extraction, erupted tooth or exposed root 19,906 11,183 $883K
90834 Psychotherapy, 45 minutes with patient 15,393 10,541 $768K
D0140 Limited oral evaluation - problem focused 23,104 20,648 $747K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10,823 10,309 $740K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 13,224 10,024 $733K
90461 18,815 17,938 $591K
D0274 Bitewings - four radiographic images 23,106 21,118 $521K
D2391 Resin-based composite - one surface, posterior, primary or permanent 11,234 7,923 $483K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,021 5,717 $466K
D1110 Prophylaxis - adult 11,414 10,453 $440K
D1120 Prophylaxis - child 8,053 7,528 $343K
D1206 Topical application of fluoride varnish 17,470 15,943 $237K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 3,730 3,200 $235K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,683 3,252 $194K
D0272 Bitewings - two radiographic images 11,284 10,397 $184K
99381 2,356 2,081 $162K
90832 Psychotherapy, 30 minutes with patient 4,104 3,056 $154K
T1015 Clinic visit/encounter, all-inclusive 39,008 34,434 $145K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4,829 3,198 $137K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 10,373 9,670 $136K
99215 Prolong outpt/office vis 1,611 1,472 $134K
D0220 Intraoral - periapical first radiographic image 15,525 14,002 $131K
90791 Psychiatric diagnostic evaluation 1,352 1,250 $104K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,485 7,053 $100K
D1351 Sealant - per tooth 5,347 1,584 $92K
90792 Psychiatric diagnostic evaluation with medical services 1,217 984 $89K
90686 18,565 17,597 $88K
81025 13,533 12,095 $81K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,126 2,080 $63K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 878 767 $60K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face 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 fqhc visit 2,866 2,501 $43K
90472 Immunization administration, each additional vaccine (list separately) 3,194 2,998 $37K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 571 533 $34K
D0120 Periodic oral evaluation - established patient 901 852 $23K
D2335 273 211 $22K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 533 492 $20K
90837 Psychotherapy, 53 minutes with patient 283 228 $19K
92551 1,543 1,489 $17K
81003 37,280 28,740 $17K
85018 8,685 8,148 $17K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,153 489 $16K
D2394 206 180 $16K
D0230 Intraoral - periapical each additional radiographic image 2,203 1,193 $12K
99383 123 117 $10K
0012A 280 247 $8K
D0210 Intraoral - complete series of radiographic images 275 265 $8K
90670 10,841 10,369 $8K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 78 37 $8K
90698 11,303 10,845 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 490 447 $6K
0011A 291 270 $6K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 170 117 $6K
D2332 95 72 $6K
90473 425 419 $6K
D4341 321 100 $6K
0001A 172 149 $6K
D2330 142 95 $6K
0002A 178 144 $5K
90633 9,339 8,880 $5K
99177 1,659 1,590 $5K
90715 1,401 1,339 $5K
90649 3,854 3,700 $5K
92002 176 121 $4K
D7250 29 12 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 770 735 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 481 440 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 54 48 $4K
D1208 Topical application of fluoride, excluding varnish 299 284 $4K
99201 125 116 $4K
90732 63 56 $3K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 102 77 $3K
90681 5,461 5,244 $3K
99382 41 38 $3K
99173 114 113 $3K
90677 15 15 $3K
90710 4,166 3,987 $2K
D2331 49 36 $2K
99385 30 26 $2K
90632 44 41 $2K
90621 86 84 $1K
90744 5,125 4,908 $1K
90734 2,393 2,287 $1K
83036 Hemoglobin; glycosylated (A1C) 148 139 $1K
0071A 27 27 $1K
0081A 26 26 $1K
58300 26 26 $916.94
90648 2,271 2,198 $901.90
90688 8,010 7,759 $647.82
0031A 17 16 $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 37 24 $574.66
87210 114 110 $540.20
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13 13 $525.92
90723 1,616 1,557 $473.20
82044 90 82 $466.93
0124A 29 28 $400.00
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 126 118 $362.25
90696 736 705 $293.60
0004A 15 13 $287.27
81002 494 427 $254.55
90700 455 439 $254.17
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 28 26 $201.36
90707 344 329 $124.11
82947 32 30 $105.84
94760 75 67 $66.49
80305 1,008 867 $44.37
90716 312 302 $36.80
3074F 128,180 113,615 $31.08
90620 68 63 $6.60
G0008 Administration of influenza virus vaccine 18 18 $4.53
90713 26 25 $3.30
90680 200 197 $3.30
1160F 22,931 20,692 $0.00
3078F 105,995 94,784 $0.00
4004F 1,974 1,844 $0.00
3077F 15,486 13,444 $0.00
1159F 37,729 33,913 $0.00
91300 448 381 $0.00
3079F 48,785 44,070 $0.00
3075F 23,065 20,310 $0.00
D0603 2,038 1,825 $0.00
D0602 1,962 1,787 $0.00
D0601 3,994 3,563 $0.00
H0033 Oral medication administration, direct observation 329 298 $0.00
91301 383 358 $0.00
3080F 141 139 $0.00
91303 14 14 $0.00
36415 Collection of venous blood by venipuncture 63 60 $0.00
D1330 72 72 $0.00