Physician
Memorial Hospital, INC.
Memorial Hospital, INC. was paid $480K by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoMEMORIAL HOSPITAL, INC.
BEVERLY, KY 40913
BEVERLY, KY 40913
33aNPI1558665752assigned 01/03/2011
33bProvider typeFamily Medicine Physician
28Total paid$480K
24GClaims46,026
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#98 of 352
Median peer was paid$90K
This provider vs. median5.4×
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 | 2,345 | $71K | |
| 2019 | 2,591 | $67K | |
| 2020 | 4,263 | $65K | |
| 2021 | 6,103 | $41K | |
| 2022 | 11,956 | $72K | |
| 2023 | 8,841 | $88K | |
| 2024incomplete | 9,927 | $77K |
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 | 48% | 7,794 | 6,686 | $232K |
| 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 | 39% | 4,870 | 4,207 | $190K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 5.7% | 2,143 | 1,591 | $27K |
| 99442 | 2.0% | 250 | 222 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 360 | 325 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 308 | 277 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 176 | 163 | $2K |
| 90674 | <1% | 116 | 105 | $2K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 86 | 61 | $2K |
| 99441 | <1% | 58 | 52 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 42 | 37 | $920.64 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 92 | 82 | $802.77 |
25 more codes
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 66 | $530.96 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 60 | $381.74 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $352.18 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 93 | $238.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 51 | $174.54 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 15 | $75.72 |
| 36415 | Collection of venous blood by venipuncture | <1% | 12 | $6.34 |
| 81003 | <1% | 13 | $3.60 | |
| 3079F | 0% | 1,635 | $0.00 | |
| 3080F | 0% | 183 | $0.00 | |
| 1125F | 0% | 1,926 | $0.00 | |
| 3075F | 0% | 993 | $0.00 | |
| 3008F | 0% | 2,573 | $0.00 | |
| 3074F | 0% | 2,825 | $0.00 | |
| 1170F | 0% | 972 | $0.00 | |
| 1036F | 0% | 3,107 | $0.00 | |
| 1101F | 0% | 823 | $0.00 | |
| 1035F | 0% | 13 | $0.00 | |
| 1159F | 0% | 3,053 | $0.00 | |
| 3288F | 0% | 901 | $0.00 | |
| 1160F | 0% | 3,249 | $0.00 | |
| 1090F | 0% | 2,552 | $0.00 | |
| 3078F | 0% | 2,826 | $0.00 | |
| 3725F | 0% | 936 | $0.00 | |
| 3077F | 0% | 839 | $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 officialJACOB, SISSEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Memorial Hospital INC. | Manchester, KY | $12.43M |
| Memorial Hospital, INC. | Manchester, KY | $2.68M |
| Memorial Hospital, INC. | Oneida, KY | $399K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.