Madison County Health Department

Madison County Health Department was paid $677K by Medicaid between Jan 2018 and Nov 2024, across 44 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 24% of everything it billed.

33Billing provider infoMADISON COUNTY HEALTH DEPARTMENT
RICHMOND, KY 40475

33aNPI1639264195assigned 10/03/2006

33bProvider typePublic Health or Welfare Agency

28Total paid$677K

24GClaims31,572

24DCodes billed44

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Public Health or Welfare Agency providers in Kentucky

Rank by total paid#12 of 318

Median peer was paid$102K

This provider vs. median6.7×

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	11,061	$256K
2019	11,029	$231K
2020	1,972	$46K
2021	105	$5K
2022	364	$11K
2023	1,991	$45K
2024incomplete	5,050	$84K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90460	Immunization administration through 18 years of age via any route, first or only component	24%	3,692	3,652	$162K
90461		19%	2,067	2,050	$129K
D1351	Sealant - per tooth	12%	907	877	$80K
D0191		11%	3,862	3,637	$76K
D1206	Topical application of fluoride varnish	11%	4,367	4,134	$73K
D1120	Dental cleaning, childProphylaxis - child	5.3%	792	652	$36K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	3.9%	560	544	$26K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	3.7%	535	520	$25K
90632		2.3%	275	272	$16K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.5%	278	270	$10K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	1.5%	189	175	$10K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.3%	430	425	$9K

32 more codes

99213	Doctor's office visit, returning patient (routine)	<1%	72	$4K
99203	Doctor's office visit, new patient (routine)	<1%	28	$3K
90633		<1%	1,448	$2K
90670		<1%	1,342	$2K
90651		<1%	320	$2K
90686		<1%	740	$1K
99201		<1%	37	$1K
99385		<1%	14	$1K
90698		<1%	1,015	$1K
90688		<1%	87	$1K
90744		<1%	719	$1K
90681		<1%	558	$736.00
90734		<1%	294	$731.20
90472	Immunization administration, each additional vaccine (list separately)	<1%	35	$357.80
81025		<1%	171	$351.50
90700		<1%	196	$334.50
90716		<1%	202	$319.40
90707		<1%	235	$304.30
90648		<1%	217	$276.00
90620		<1%	63	$159.75
90710		<1%	106	$128.80
90715		<1%	102	$110.40
90696		<1%	59	$95.30
A4267	Contraceptive supply, condom, male, each	<1%	25	$69.25
90685		<1%	98	$55.20
D1310		0%	256	$0.00
D0601		0%	952	$0.00
D1320		0%	650	$0.00
D0602		0%	1,201	$0.00
G0008	Administration of influenza virus vaccine	0%	18	$0.00
D0603		0%	247	$0.00
D1330		0%	2,111	$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 officialVUNDI, NIKITA (DIRECTOR)