COUNTY LINE PRIMARY CARE
NPI: 1609378132
· JACKSON, KY 41339
· 261QR1300X
$700K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
228 |
$4K |
| 2021 |
1,403 |
$41K |
| 2022 |
4,372 |
$99K |
| 2023 |
8,877 |
$187K |
| 2024 |
14,227 |
$369K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
10,319 |
8,557 |
$311K |
| 87426 |
|
3,546 |
3,221 |
$76K |
| 99203 |
|
931 |
883 |
$47K |
| 99214 |
|
771 |
587 |
$43K |
| 87804 |
|
3,791 |
1,851 |
$37K |
| 90833 |
|
997 |
729 |
$35K |
| 96372 |
|
1,774 |
1,435 |
$30K |
| 99202 |
|
805 |
770 |
$28K |
| 87880 |
|
3,006 |
2,735 |
$26K |
| J0696 |
Ceftriaxone sodium injection |
980 |
854 |
$16K |
| H0001 |
Alcohol and/or drug assess |
270 |
243 |
$12K |
| 90837 |
|
188 |
167 |
$12K |
| 87636 |
|
103 |
99 |
$9K |
| 99212 |
|
259 |
245 |
$6K |
| 90834 |
|
89 |
78 |
$4K |
| 90832 |
|
94 |
77 |
$3K |
| 99204 |
|
17 |
17 |
$1K |
| J1100 |
Dexamethasone sodium phos |
716 |
643 |
$943.11 |
| 99211 |
|
100 |
76 |
$889.78 |
| 80305 |
|
127 |
44 |
$537.12 |
| T1007 |
Treatment plan development |
23 |
19 |
$501.01 |
| 90714 |
|
16 |
15 |
$335.28 |
| 86308 |
|
67 |
65 |
$282.18 |
| 90471 |
|
21 |
17 |
$222.52 |
| 36415 |
|
81 |
76 |
$97.32 |
| J1885 |
Ketorolac tromethamine inj |
16 |
14 |
$47.88 |