NP / PA
Main Street Family Medicine, LLC
Main Street Family Medicine, LLC was paid $188K by Medicaid between Jan 2018 and Oct 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoMAIN STREET FAMILY MEDICINE, LLC
WHITESVILLE, KY 42378
WHITESVILLE, KY 42378
33aNPI1528097433assigned 07/02/2006
33bProvider typePhysician Assistant
28Total paid$188K
24GClaims13,890
24DCodes billed37
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Physician Assistant providers in Kentucky
Rank by total paid#94 of 214
Median peer was paid$134K
This provider vs. median1.4×
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 | 2,359 | $47K | |
| 2019 | 843 | $22K | |
| 2020 | 1,145 | $22K | |
| 2021 | 4,268 | $55K | |
| 2022 | 3,515 | $25K | |
| 2023 | 1,668 | $14K | |
| 2024incomplete | 92 | $2K |
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 | 66% | 4,649 | 3,912 | $124K |
| 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 | 16% | 816 | 687 | $30K |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | 11% | 59 | 48 | $20K |
| 99407 | 1.6% | 163 | 130 | $3K | |
| 90658 | 1.0% | 176 | 176 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 133 | 133 | $2K |
| 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% | 23 | 20 | $1K |
| 99336 | <1% | 91 | 60 | $1K | |
| 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% | 14 | 12 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | 14 | $983.06 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 33 | 33 | $439.61 |
| 99337 | <1% | 34 | 30 | $396.41 |
25 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | $389.28 |
| 90686 | <1% | 16 | $218.36 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 20 | $186.69 |
| 99406 | <1% | 21 | $75.17 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 19 | $66.87 |
| 1159F | 0% | 1,667 | $0.00 | |
| 3078F | 0% | 899 | $0.00 | |
| 1160F | 0% | 1,668 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 341 | $0.00 |
| 3077F | 0% | 15 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 42 | $0.00 |
| 4004F | 0% | 17 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 32 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 44 | $0.00 |
| 4013F | 0% | 31 | $0.00 | |
| 3008F | 0% | 1,348 | $0.00 | |
| 3079F | 0% | 211 | $0.00 | |
| 1036F | 0% | 45 | $0.00 | |
| 3074F | 0% | 847 | $0.00 | |
| 1126F | 0% | 45 | $0.00 | |
| 1125F | 0% | 12 | $0.00 | |
| 3075F | 0% | 170 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 52 | $0.00 |
| 90674 | 0% | 48 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 47 | $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 officialGLENN-BIRKHEAD, CYNTHIA (OWNER)