Physician
Breckinridge Health Clinic
Breckinridge Health Clinic was paid $171K by Medicaid between Aug 2020 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoBRECKINRIDGE HEALTH CLINIC
HARDINSBURG, KY 40143
HARDINSBURG, KY 40143
33aNPI1598384745assigned 04/08/2020
33bProvider typePediatrics Physician
28Total paid$171K
24GClaims6,166
24DCodes billed18
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Kentucky
Rank by total paid#49 of 156
Median peer was paid$41K
This provider vs. median4.1×
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 | |
|---|---|---|---|
| 2020 | 255 | $5K | |
| 2021 | 1,767 | $54K | |
| 2022 | 1,781 | $48K | |
| 2023 | 1,053 | $31K | |
| 2024incomplete | 1,310 | $34K |
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 | 62% | 2,752 | 2,325 | $105K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 260 | 236 | $18K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.2% | 139 | 120 | $9K |
| 87428 | 5.1% | 240 | 198 | $9K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 4.8% | 231 | 210 | $8K |
| 97803 | 4.3% | 860 | 755 | $7K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 42 | 37 | $3K |
| 87430 | 1.5% | 211 | 186 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 172 | 163 | $2K |
| 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 | <1% | 25 | 24 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 112 | 96 | $1K |
| 90688 | <1% | 76 | 71 | $1K |
6 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 officialARMES, CYNTHIA (PRACTICE MANAGER)
Parent organizationBRECKINRIDGE HEALTH INC