Clinic
Community Family Clinic PLLC
Community Family Clinic PLLC was paid $2.78M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoCOMMUNITY FAMILY CLINIC PLLC
MT STERLING, KY 40353
MT STERLING, KY 40353
33aNPI1598963910assigned 07/06/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$2.78M
24GClaims118,574
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Kentucky
Rank by total paid#4 of 44
Median peer was paid$145K
This provider vs. median19×
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 | 26,351 | $644K | |
| 2019 | 23,464 | $660K | |
| 2020 | 8,282 | $225K | |
| 2021 | 18,889 | $396K | |
| 2022 | 21,512 | $401K | |
| 2023 | 12,811 | $281K | |
| 2024incomplete | 7,265 | $170K |
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 | 42% | 43,185 | 35,956 | $1.17M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 26% | 15,645 | 8,627 | $725K |
| 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 | 16% | 11,660 | 9,850 | $447K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 1,697 | 1,545 | $90K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.1% | 6,904 | 6,238 | $87K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.6% | 5,545 | 2,625 | $72K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.4% | 1,015 | 848 | $39K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 2,815 | 2,599 | $36K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 3,294 | 2,669 | $32K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 604 | 509 | $19K |
| 99051 | <1% | 7,151 | 6,453 | $13K | |
| 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% | 1,092 | 822 | $10K |
44 more codes
| 99490 | Ccm add 20min | <1% | 830 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 393 | $8K |
| 99173 | <1% | 288 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 46 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 43 | $3K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 161 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 217 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,558 | $1K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 646 | $937.43 |
| 90658 | <1% | 75 | $921.82 | |
| 90756 | <1% | 65 | $604.92 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 14 | $549.26 |
| 90688 | <1% | 52 | $533.64 | |
| 96160 | <1% | 223 | $459.78 | |
| 81003 | <1% | 959 | $372.25 | |
| 99406 | <1% | 38 | $187.22 | |
| 87807 | <1% | 14 | $158.84 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 58 | $51.83 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 33 | $16.18 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 30 | $14.40 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 336 | $1.33 |
| 3074F | <1% | 126 | $0.43 | |
| 3078F | <1% | 104 | $0.35 | |
| 3008F | <1% | 9,164 | $0.25 | |
| 1170F | <1% | 41 | $0.18 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 922 | $0.01 |
| 1159F | <1% | 56 | $0.01 | |
| 3725F | 0% | 364 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 15 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 80 | $0.00 |
| 1160F | 0% | 40 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 15 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 478 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 23 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 81 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 84 | $0.00 |
| 1036F | 0% | 14 | $0.00 | |
| 1030F | 0% | 84 | $0.00 | |
| 1000F | 0% | 90 | $0.00 | |
| 3044F | 0% | 25 | $0.00 | |
| 1034F | 0% | 40 | $0.00 | |
| 3048F | 0% | 13 | $0.00 | |
| 3079F | 0% | 13 | $0.00 | |
| 1101F | 0% | 16 | $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 officialKASSIS, TAUFIK (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Casa San Pio Clinics of Appalachia, LLC | Stanton, KY | $2.57M |
| Community Family Clinic PLLC | Owingsville, KY | $2.47M |
| Community Family Clinic PLLC | Frenchburg, KY | $1.95M |
| Montgomery Family Care LLC | Mount Sterling, KY | $576K |
| Sterling Toxicology LLC | Mt Sterling, KY | $516K |
| Community Addiction Recovery LLC | Stanton, KY | $28K |
| Community Family Clinic-School LLC | Frenchburg, KY | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.