Physician
Community Family Clinic PLLC
Community Family Clinic PLLC was paid $2.47M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoCOMMUNITY FAMILY CLINIC PLLC
OWINGSVILLE, KY 40360
OWINGSVILLE, KY 40360
33aNPI1518302892assigned 05/01/2013
33bProvider typeFamily Medicine Physician
28Total paid$2.47M
24GClaims94,650
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#29 of 352
Median peer was paid$90K
This provider vs. median28×
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 | 17,889 | $360K | |
| 2019 | 15,174 | $361K | |
| 2020 | 11,959 | $352K | |
| 2021 | 12,723 | $375K | |
| 2022 | 14,365 | $388K | |
| 2023 | 12,771 | $353K | |
| 2024incomplete | 9,769 | $284K |
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 | 52% | 45,567 | 33,675 | $1.30M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 21% | 14,481 | 9,789 | $524K |
| 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 | 13% | 8,281 | 6,848 | $332K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.3% | 1,396 | 892 | $106K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 904 | 848 | $48K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.7% | 3,428 | 3,155 | $43K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 3,183 | 1,525 | $41K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,913 | 1,773 | $25K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,256 | 1,002 | $12K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 172 | 128 | $12K |
| 99173 | <1% | 732 | 689 | $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 | <1% | 83 | 78 | $4K |
40 more codes
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 45 | $3K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 349 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 88 | $2K |
| 81025 | <1% | 277 | $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 | <1% | 227 | $1K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 22 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 98 | $1K |
| 96160 | <1% | 441 | $953.35 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | $832.23 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 16 | $826.80 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 17 | $767.62 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $750.72 |
| 99406 | <1% | 100 | $607.53 | |
| 90688 | <1% | 51 | $602.37 | |
| 90658 | <1% | 39 | $496.61 | |
| 81003 | <1% | 1,010 | $384.91 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 838 | $336.73 |
| 80305 | <1% | 28 | $263.61 | |
| 90756 | <1% | 15 | $219.75 | |
| 82962 | <1% | 59 | $127.25 | |
| 99490 | Ccm add 20min | <1% | 32 | $114.52 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 79 | $111.78 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 171 | $0.50 |
| 1170F | <1% | 169 | $0.36 | |
| 3074F | <1% | 225 | $0.33 | |
| 3078F | <1% | 140 | $0.28 | |
| 3008F | <1% | 6,692 | $0.11 | |
| 1159F | <1% | 225 | $0.01 | |
| 1160F | <1% | 213 | $0.01 | |
| 3725F | 0% | 647 | $0.00 | |
| 1158F | 0% | 80 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 12 | $0.00 |
| 4000F | 0% | 58 | $0.00 | |
| 1030F | 0% | 87 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 357 | $0.00 |
| 1101F | 0% | 43 | $0.00 | |
| 1000F | 0% | 187 | $0.00 | |
| 1034F | 0% | 66 | $0.00 | |
| 1126F | 0% | 13 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 12 | $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 officialKASSIS, TAUFIK (OWNER)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.