Middlesboro Health Department

Middlesboro Health Department was paid $186K by Medicaid between Jan 2018 and Oct 2024, across 30 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 38% of everything it billed.

33Billing provider infoMIDDLESBORO HEALTH DEPARTMENT
MIDDLESBORO, KY 40965

33aNPI1548527773assigned 04/12/2012

33bProvider typePublic Health or Welfare Agency

28Total paid$186K

24GClaims7,124

24DCodes billed30

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Public Health or Welfare Agency providers in Kentucky

Rank by total paid#98 of 318

Median peer was paid$102K

This provider vs. median1.8×

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	3,122	$76K
2019	2,368	$59K
2020	613	$20K
2021	213	$7K
2022	223	$8K
2023	279	$7K
2024incomplete	306	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90460	Immunization administration through 18 years of age via any route, first or only component	38%	1,860	1,807	$70K
90461		27%	834	799	$50K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	18%	938	867	$34K
90632		2.6%	81	80	$5K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	2.0%	214	191	$4K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.7%	157	151	$3K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	1.5%	57	57	$3K
D1206	Topical application of fluoride varnish	1.4%	143	140	$3K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1.1%	70	70	$2K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	1.1%	40	40	$2K
97802		<1%	42	42	$2K
90651		<1%	266	261	$1K

18 more codes

86580		<1%	183	$1K
99442		<1%	52	$1K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	17	$1K
90688		<1%	96	$820.50
90633		<1%	1,042	$777.50
99213	Doctor's office visit, returning patient (routine)	<1%	12	$747.23
90734		<1%	122	$368.10
83655		<1%	19	$329.46
90670		<1%	299	$257.60
81025		<1%	150	$246.77
90647		<1%	140	$165.60
90723		<1%	175	$128.80
A4267	Contraceptive supply, condom, male, each	<1%	12	$65.00
90696		<1%	24	$36.80
90715		<1%	22	$36.80
90710		<1%	12	$9.90
G0008	Administration of influenza virus vaccine	0%	24	$0.00
90662		0%	21	$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 officialHUNTER, TERESA (PUBLIC HEALTH DIRECTOR)

Same official

Other billing entities under HUNTER, TERESA

Full network →

Provider	Location	Paid
Middlesboro Primary School	Pineville, KY	$397K
Middlesboro Middle School	Pineville, KY	$278K
Middlesboro High School	Pineville, KY	$170K
Bell County Health Department INC.	Pineville, KY	$134K
Pineville City School	Pineville, KY	$42K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.