Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Concentra Primary Care PA

Concentra Primary Care PA was paid $258K by Medicaid between Jan 2018 and Jul 2021, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.

33Billing provider infoCONCENTRA PRIMARY CARE PA
LEXINGTON, KY 40511
33aNPI1558618439assigned 08/09/2012
28Total paid$258K
24GClaims5,051
24DCodes billed9
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers

Next to other Family Medicine Physician providers in Kentucky

Rank by total paid#127 of 352
Median peer was paid$90K
This provider vs. median2.9×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20181,972$102K
20192,150$111K
2020780$37K
2021149$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 68% 2,925 2,740 $175K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12% 429 414 $30K
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 11% 292 279 $29K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.1% 350 339 $13K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.4% 480 235 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.6% 309 297 $4K
71046 Radiologic examination, chest; 2 views <1% 16 15 $453.74
36415 Collection of venous blood by venipuncture <1% 44 40 $182.10
81003 <1% 206 200 $51.59

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 officialHASSETT, ROBERT (PRESIDENT / TREASURER)