Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KNOTT COUNTY FAMILY HEALTHCARE,PLLC

NPI: 1578578225 · HINDMAN, KY 41822 · Rural Health Clinic/Center · NPI assigned 07/30/2006

$813K
Total Medicaid Paid
35,688
Total Claims
25,795
Beneficiaries
29
Codes Billed
2018-01
First Month
2021-09
Last Month

Provider Details

Authorized OfficialSPADY, STEVEN (MEDICAL DIRECTOR)
NPI Enumeration Date07/30/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,720 $205K
2019 9,891 $217K
2020 9,638 $243K
2021 6,439 $148K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,355 9,743 $401K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,338 8,198 $252K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,235 1,826 $29K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 826 760 $29K
J0696 Injection, ceftriaxone sodium, per 250 mg 580 483 $23K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,571 717 $19K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,332 1,191 $17K
90832 Psychotherapy, 30 minutes with patient 443 380 $16K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 574 481 $10K
95923 56 52 $4K
95943 56 52 $3K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 132 96 $2K
93922 55 52 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 21 20 $1K
90688 118 103 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,022 844 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 112 97 $995.60
90837 Psychotherapy, 53 minutes with patient 15 12 $975.92
90834 Psychotherapy, 45 minutes with patient 16 13 $773.96
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 13 $472.01
86580 58 30 $269.19
81003 554 456 $93.30
81002 58 45 $30.39
4010F 33 33 $0.19
3074F 36 28 $0.18
3078F 22 16 $0.11
3044F 12 12 $0.05
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 14 12 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 31 30 $0.00