Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COMMUNITY FAMILY CLINIC PLLC

NPI: 1518302892 · OWINGSVILLE, KY 40360 · Family Medicine Physician · NPI assigned 05/01/2013

$2.47M
Total Medicaid Paid
94,650
Total Claims
71,693
Beneficiaries
52
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKASSIS, TAUFIK (OWNER)
NPI Enumeration Date05/01/2013

Related Entities

Other providers sharing the same authorized official: KASSIS, TAUFIK

ProviderCityStateTotal Paid
COMMUNITY FAMILY CLINIC PLLC MT STERLING KY $2.78M
CASA SAN PIO CLINICS OF APPALACHIA, LLC STANTON KY $2.57M
COMMUNITY FAMILY CLINIC PLLC FRENCHBURG KY $1.95M
MONTGOMERY FAMILY CARE LLC MOUNT STERLING KY $576K
STERLING TOXICOLOGY LLC MT STERLING KY $516K
COMMUNITY ADDICTION RECOVERY LLC STANTON KY $28K
COMMUNITY FAMILY CLINIC-SCHOOL LLC FRENCHBURG KY $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,889 $360K
2019 15,174 $361K
2020 11,959 $352K
2021 12,723 $375K
2022 14,365 $388K
2023 12,771 $353K
2024 9,769 $284K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45,567 33,675 $1.30M
90832 Psychotherapy, 30 minutes with patient 14,481 9,789 $524K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,281 6,848 $332K
90837 Psychotherapy, 53 minutes with patient 1,396 892 $106K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 904 848 $48K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 3,428 3,155 $43K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,183 1,525 $41K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,913 1,773 $25K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,256 1,002 $12K
90791 Psychiatric diagnostic evaluation 172 128 $12K
99173 732 689 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 83 78 $4K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 45 42 $3K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 349 179 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 88 75 $2K
81025 277 249 $1K
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 227 214 $1K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 22 15 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 98 86 $1K
96160 441 417 $953.35
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 13 $832.23
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 16 15 $826.80
90834 Psychotherapy, 45 minutes with patient 17 14 $767.62
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $750.72
99406 100 92 $607.53
90688 51 45 $602.37
90658 39 38 $496.61
81003 1,010 911 $384.91
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 838 764 $336.73
80305 28 27 $263.61
90756 15 14 $219.75
82962 59 51 $127.25
99490 Ccm add 20min 32 29 $114.52
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 79 64 $111.78
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 171 154 $0.50
1170F 169 165 $0.36
3074F 225 216 $0.33
3078F 140 132 $0.28
3008F 6,692 5,370 $0.11
1159F 225 218 $0.01
1160F 213 207 $0.01
3725F 647 610 $0.00
1158F 80 78 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 12 12 $0.00
4000F 58 53 $0.00
1030F 87 80 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 357 329 $0.00
1101F 43 42 $0.00
1000F 187 172 $0.00
1034F 66 62 $0.00
1126F 13 13 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 12 12 $0.00