Physician
Tompkinsville Primary Care
Tompkinsville Primary Care was paid $154K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.
33Billing provider infoTOMPKINSVILLE PRIMARY CARE
TOMPKINSVILLE, KY 42167
TOMPKINSVILLE, KY 42167
33aNPI1548379779assigned 08/30/2006
33bProvider typeFamily Medicine Physician
28Total paid$154K
24GClaims9,108
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#147 of 352
Median peer was paid$90K
This provider vs. median1.7×
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 | 739 | $24K | |
| 2019 | 1,827 | $26K | |
| 2020 | 1,391 | $18K | |
| 2021 | 1,459 | $19K | |
| 2022 | 1,322 | $20K | |
| 2023 | 1,328 | $24K | |
| 2024incomplete | 1,042 | $22K |
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 | 89% | 4,299 | 3,426 | $137K |
| 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 | 11% | 366 | 319 | $17K |
| 36415 | Collection of venous blood by venipuncture | <1% | 27 | 25 | $44.78 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 4,135 | 3,252 | $15.35 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 114 | 105 | $15.34 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 117 | 104 | $0.00 |
| G9273 | Blood pressure has a systolic value of < 140 and a diastolic value of < 90 | 0% | 50 | 44 | $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 officialBEAN, DENISE (OFFICE MANAGER/OWNER)
| Provider | Location | Paid |
|---|---|---|
| The Guidance Center | Bradford, PA | $25.76M |
| The Guidance Center | Bradford, PA | $4.12M |
| The Guidance Center | Bradford, PA | $1.62M |
| The Guidance Center | Bradford, PA | $857K |
| The Guidance Center | Bradford, PA | $187K |
| The Guidance Center | Bradford, PA | $151K |
| The Guidance Center | Bradford, PA | $83.41 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.