Clinic
Livingston Hospital and Healthcare Services, INC.
Livingston Hospital and Healthcare Services, INC. was paid $153K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.
33Billing provider infoLIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC.
GRAND RIVERS, KY 42045
GRAND RIVERS, KY 42045
33aNPI1578549184assigned 12/16/2005
33bProvider typeRural Health Clinic/Center
28Total paid$153K
24GClaims6,280
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#191 of 265
Median peer was paid$400K
This provider vs. median0.4×
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 | 1,920 | $35K | |
| 2019 | 1,001 | $28K | |
| 2020 | 900 | $25K | |
| 2021 | 736 | $19K | |
| 2022 | 720 | $18K | |
| 2023 | 485 | $13K | |
| 2024incomplete | 518 | $15K |
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 | 83% | 4,441 | 3,539 | $127K |
| 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 | 13% | 458 | 387 | $20K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 264 | 238 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 189 | 164 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 21 | 15 | $463.18 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | 12 | $167.48 |
| 36415 | Collection of venous blood by venipuncture | <1% | 73 | 67 | $151.58 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 219 | 175 | $0.00 |
| 3078F | 0% | 134 | 116 | $0.00 | |
| 3077F | 0% | 32 | 31 | $0.00 | |
| 3080F | 0% | 30 | 28 | $0.00 | |
| 3075F | 0% | 49 | 40 | $0.00 |
3 more codes
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 officialEDWARDS, MARK (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| The Cornerstone of Recovery, INC. | Louisville, TN | $5.93M |
| Livingston Hospital and Healthcare Services, INC. | Salem, KY | $4.94M |
| Addiction & Mental Health Services, LLC | Chattanooga, TN | $2.07M |
| Bradford Evolve Treatment Services, LLC | Knoxville, TN | $758K |
| Naab Road Surgical Group PC | Indianapolis, IN | $248K |
| Livingston Hospital and Healthcare Services, INC. | Eddyville, KY | $117K |
| West Houston Lung Center PA | Houston, TX | $5K |
| Edwards Internal Medicine PLLC | Germantown, TN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.