Clinic
Knott County Family Healthcare,pllc
Knott County Family Healthcare,pllc was paid $813K by Medicaid between Jan 2018 and Sep 2021, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoKNOTT COUNTY FAMILY HEALTHCARE,PLLC
HINDMAN, KY 41822
HINDMAN, KY 41822
33aNPI1578578225assigned 07/30/2006
33bProvider typeRural Health Clinic/Center
28Total paid$813K
24GClaims35,688
24DCodes billed29
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#72 of 265
Median peer was paid$400K
This provider vs. median2.0×
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 | 9,720 | $205K | |
| 2019 | 9,891 | $217K | |
| 2020 | 9,638 | $243K | |
| 2021 | 6,439 | $148K |
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 | 49% | 14,355 | 9,743 | $401K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 31% | 11,338 | 8,198 | $252K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.6% | 2,235 | 1,826 | $29K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.6% | 826 | 760 | $29K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 2.8% | 580 | 483 | $23K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.3% | 1,571 | 717 | $19K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.1% | 1,332 | 1,191 | $17K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.9% | 443 | 380 | $16K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.2% | 574 | 481 | $10K |
| 95923 | <1% | 56 | 52 | $4K | |
| 95943 | <1% | 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 | <1% | 132 | 96 | $2K |
17 more codes
| 93922 | <1% | 55 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 21 | $1K |
| 90688 | <1% | 118 | $1K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,022 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 112 | $995.60 |
| 90837 | Psychotherapy session, about an hour | <1% | 15 | $975.92 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 16 | $773.96 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $472.01 |
| 86580 | <1% | 58 | $269.19 | |
| 81003 | <1% | 554 | $93.30 | |
| 81002 | <1% | 58 | $30.39 | |
| 4010F | <1% | 33 | $0.19 | |
| 3074F | <1% | 36 | $0.18 | |
| 3078F | <1% | 22 | $0.11 | |
| 3044F | <1% | 12 | $0.05 | |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | 0% | 14 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 31 | $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 officialSPADY, STEVEN (MEDICAL DIRECTOR)