Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KY › PIKEVILLE › PIKEVILLE MEDICAL CENTER INC.

PIKEVILLE MEDICAL CENTER INC.

NPI: 1528195864 · PIKEVILLE, KY 41501 · Psychologist · NPI assigned 02/27/2007

$34.42M
Total Medicaid Paid
1,022,976
Total Claims
835,345
Beneficiaries
256
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHAGY, MICHELLE (CFO)
Parent OrganizationPIKEVILLE MEDICAL CENTER INC.
NPI Enumeration Date02/27/2007

Related Entities

Other providers sharing the same authorized official: HAGY, MICHELLE

ProviderCityStateTotal Paid
PIKEVILLE MEDICAL CENTER INC PIKEVILLE KY $181.38M
PIKEVILLE MEDICAL CENTER INC. PIKEVILLE KY $1.25M
PIKEVILLE MEDICAL CENTER INC. PIKEVILLE KY $809K
PIKEVILLE MEDICAL CENTER, INC. (PIKEVILLE FAMILY PRACTICE CLINIC) PIKEVILLE KY $424K
PIKEVILLE MEDICAL CENTER INC PIKEVILLE KY $160K
PIKEVILLE MEDICAL CENTER INC PIKEVILLE KY $155K
PIKEVILLE MEDICAL CENTER, INC. PIKEVILLE KY $62K
PIKEVILLE MEDICAL CENTER, INC. GRUNDY VA $749.26
PIKEVILLE MEDICAL CENTER, INC. PIKEVILLE KY $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 153,326 $5.38M
2019 141,318 $5.01M
2020 133,951 $4.61M
2021 137,701 $4.60M
2022 140,289 $4.58M
2023 165,693 $5.56M
2024 150,698 $4.69M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 278,089 242,380 $7.63M
99284 Emergency department visit for the evaluation and management, high severity 75,191 70,285 $4.26M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 70,249 62,658 $2.82M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 25,618 10,746 $2.17M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 40,492 36,100 $1.76M
99232 Subsequent hospital care, per day, moderate complexity 71,794 27,668 $1.59M
99283 Emergency department visit for the evaluation and management, moderate severity 39,338 36,673 $1.41M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 16,562 15,231 $1.31M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 55,396 46,941 $910K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 11,310 10,181 $815K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 18,412 16,598 $651K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 97,121 81,731 $612K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,492 4,642 $519K
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 2,769 283 $439K
99239 Hospital discharge day management, more than 30 minutes 10,143 9,028 $406K
99222 Initial hospital care, per day, moderate complexity 7,999 6,838 $401K
59410 523 460 $384K
20610 10,254 8,127 $371K
99233 Prolong inpt eval add15 m 10,830 5,141 $352K
96110 Developmental screening, with scoring and documentation, per standardized instrument 10,022 9,629 $334K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,934 5,445 $319K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 8,734 7,181 $236K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,707 3,521 $220K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 8,690 5,429 $182K
42820 Tonsillectomy and adenoidectomy; younger than age 12 900 844 $175K
99238 Hospital discharge day management, 30 minutes or less 4,283 3,841 $149K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 893 825 $138K
99243 1,602 1,513 $126K
00170 Anesthesia for intraoral procedures, including biopsy 1,756 1,581 $122K
99480 Subsequent intensive care, per day, low birth weight infant 1,298 284 $115K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 4,755 3,583 $113K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 178 139 $112K
29826 474 251 $92K
99223 Prolong inpt eval add15 m 1,457 1,303 $91K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,361 1,273 $87K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,330 2,137 $86K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,952 4,499 $84K
93454 761 616 $84K
59025 Fetal non-stress test 3,629 2,786 $83K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,161 1,953 $81K
99221 2,991 2,536 $81K
76830 Ultrasound, transvaginal 2,788 2,589 $72K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,186 1,738 $71K
99460 1,628 1,490 $70K
45380 Colonoscopy, flexible; with biopsy, single or multiple 433 375 $67K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 568 162 $65K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,964 2,673 $63K
99231 Subsequent hospital care, per day, straightforward or low complexity 4,839 2,252 $63K
90935 Hemodialysis procedure with single evaluation by a physician 1,719 681 $61K
71045 Radiologic examination, chest; single view 11,077 7,873 $57K
74177 Computed tomography, abdomen and pelvis; with contrast material 877 812 $54K
99219 986 886 $54K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 926 870 $53K
99217 1,551 1,375 $52K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 710 637 $49K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 627 588 $48K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 352 311 $46K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 487 307 $44K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,794 1,460 $40K
00731 1,118 901 $40K
29824 462 237 $37K
93018 2,845 2,550 $37K
93298 2,222 2,005 $34K
90791 Psychiatric diagnostic evaluation 628 474 $33K
92557 1,796 1,491 $32K
93016 2,541 2,280 $31K
27447 53 41 $29K
96112 328 323 $27K
77067 Screening mammography, bilateral, including computer-aided detection 977 934 $24K
70450 Computed tomography, head or brain; without contrast material 1,015 900 $24K
96113 326 321 $23K
95806 241 223 $23K
92588 679 571 $23K
93294 1,683 1,552 $22K
29880 95 77 $21K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 320 305 $21K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 448 436 $21K
93458 164 122 $21K
59515 37 25 $21K
92567 2,306 1,950 $21K
99215 Prolong outpt/office vis 421 336 $20K
31575 484 444 $20K
29823 187 100 $19K
77427 270 107 $18K
88307 392 333 $18K
29879 67 51 $17K
96130 258 247 $16K
76819 Fetal biophysical profile; without non-stress testing 749 471 $16K
95909 342 293 $16K
36569 318 280 $16K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 80 77 $16K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 467 372 $16K
11721 1,072 950 $15K
71046 Radiologic examination, chest; 2 views 2,267 2,097 $15K
99152 1,377 1,138 $14K
74176 Computed tomography, abdomen and pelvis; without contrast material 263 240 $14K
90846 Family psychotherapy without the patient present, 50 minutes 247 240 $14K
97597 960 696 $14K
93280 741 648 $13K
99386 144 136 $13K
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy 1,378 140 $13K
49083 216 128 $13K
72141 249 242 $13K
96131 256 246 $12K
59514 25 15 $12K
93970 653 605 $12K
93922 1,314 1,211 $12K
78815 Positron emission tomography (PET) for limited area imaging 299 270 $12K
93227 464 425 $11K
27130 18 16 $11K
88312 720 637 $11K
11045 465 305 $11K
11043 279 173 $11K
47562 31 26 $10K
76536 519 497 $10K
76705 Ultrasound, abdominal, real time with image documentation; limited 519 487 $10K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 538 423 $10K
99220 128 116 $10K
93793 1,797 913 $10K
99253 165 149 $10K
71250 304 283 $10K
95816 322 301 $9K
43235 128 104 $9K
76642 402 360 $9K
99468 13 13 $9K
88304 821 744 $9K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 54 50 $8K
95886 359 274 $8K
99479 Subsequent intensive care, per day, very low birth weight infant 93 25 $8K
64615 90 85 $8K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 227 183 $7K
98926 285 242 $7K
93295 324 299 $7K
77066 Tomosynthesis, mammo 220 213 $7K
92134 213 210 $7K
76770 274 263 $6K
73630 1,058 921 $6K
00813 167 150 $6K
99442 238 216 $6K
93880 488 442 $6K
73221 138 131 $6K
93923 338 307 $6K
76700 Ultrasound, abdominal, real time with image documentation; complete 194 187 $5K
70551 Magnetic resonance imaging, brain; without contrast material 132 121 $5K
99462 228 174 $5K
95251 364 342 $5K
73560 1,008 862 $5K
77065 Tomosynthesis, mammo 209 196 $5K
99385 70 67 $5K
95810 Polysomnography; sleep staging with 4 or more additional parameters 43 43 $4K
73502 720 666 $4K
94726 651 573 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 117 102 $4K
94010 496 451 $4K
54150 53 52 $4K
73130 640 539 $4K
99225 160 77 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 335 305 $3K
77062 89 89 $3K
74018 598 449 $3K
90945 65 24 $3K
95811 32 29 $3K
76942 173 149 $3K
71275 Computed tomographic angiography, chest, with contrast material 103 86 $3K
29881 28 24 $3K
93312 57 51 $3K
73030 497 452 $3K
69210 219 177 $3K
42821 16 12 $3K
52000 55 52 $3K
94729 625 548 $3K
90961 40 38 $3K
72125 Computed tomography, cervical spine; without contrast material 72 66 $3K
93308 118 111 $2K
20551 106 64 $2K
93000 73 68 $2K
93971 155 145 $2K
73610 407 361 $2K
95885 116 105 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 178 154 $2K
72100 300 280 $2K
72131 67 56 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 42 38 $2K
99252 61 44 $2K
73562 332 290 $2K
00142 65 38 $2K
74240 67 64 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 66 59 $2K
11102 99 83 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 2,575 2,314 $2K
94060 141 117 $2K
74178 28 28 $2K
58300 42 38 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 138 121 $1K
00812 40 40 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor 139 117 $1K
31624 18 14 $1K
76820 62 39 $1K
75574 14 14 $1K
10005 43 37 $1K
43450 56 51 $1K
99218 25 24 $1K
77263 16 13 $1K
01922 32 25 $1K
90834 Psychotherapy, 45 minutes with patient 22 12 $1K
95911 18 12 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 57 57 $943.23
99406 173 165 $939.59
76801 30 26 $938.96
72202 134 125 $911.39
93925 60 54 $897.14
99254 16 13 $877.20
31500 16 14 $875.22
77300 16 12 $857.98
71271 33 24 $847.73
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 86 72 $831.49
99443 16 12 $799.40
93325 67 63 $762.58
76818 22 12 $747.51
64447 31 29 $728.17
70496 12 12 $713.19
73521 89 83 $663.07
20550 27 25 $622.46
93272 31 30 $609.29
99242 16 13 $584.18
93321 75 74 $495.94
00126 12 12 $493.38
98925 28 25 $485.32
93320 28 26 $446.01
76937 37 28 $399.78
73110 83 73 $398.56
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 88 74 $385.76
36556 14 14 $353.60
72040 44 42 $347.21
93297 15 13 $308.11
74420 26 24 $306.49
74220 25 25 $303.85
78306 15 13 $296.89
99441 34 34 $285.15
93228 14 14 $247.91
77002 19 14 $246.96
92015 Determination of refractive state 78 45 $243.04
85060 19 16 $217.24
17110 17 17 $198.18
00811 16 12 $175.01
93291 13 12 $131.03
72170 31 24 $126.64
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $115.35
G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests 51 47 $114.24
76519 13 13 $111.45
73120 13 12 $96.00
11055 12 12 $91.96
77080 12 12 $44.09
81003 15 12 $3.38
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,086 1,674 $0.00
99024 408 327 $0.00