Clinic
Bardstown Primary Care, PLLC
Bardstown Primary Care, PLLC was paid $635K by Medicaid between Aug 2019 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoBARDSTOWN PRIMARY CARE, PLLC
SPRINGFIELD, KY 40069
SPRINGFIELD, KY 40069
33aNPI1639654809assigned 10/03/2018
33bProvider typeRural Health Clinic/Center
28Total paid$635K
24GClaims27,871
24DCodes billed33
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#89 of 265
Median peer was paid$400K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2019 | 1,014 | $16K | |
| 2020 | 3,727 | $77K | |
| 2021 | 5,396 | $116K | |
| 2022 | 6,440 | $155K | |
| 2023 | 5,412 | $133K | |
| 2024incomplete | 5,882 | $139K |
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 | 35% | 7,406 | 6,726 | $225K |
| 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 | 35% | 4,738 | 4,324 | $222K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.9% | 2,679 | 2,477 | $38K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 5.2% | 852 | 811 | $33K |
| 87428 | 4.9% | 726 | 684 | $31K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.9% | 1,156 | 828 | $25K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.6% | 884 | 830 | $17K |
| 99173 | 1.5% | 265 | 239 | $10K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 190 | 164 | $9K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.1% | 347 | 282 | $7K |
| 90461 | <1% | 186 | 165 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 59 | 59 | $3K |
21 more codes
| 81003 | <1% | 1,359 | $2K | |
| 92552 | <1% | 183 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 51 | $1K |
| 94760 | <1% | 3,976 | $1K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 39 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 58 | $1K |
| 99177 | <1% | 259 | $651.03 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 44 | $549.90 |
| 36416 | <1% | 229 | $345.28 | |
| 96160 | <1% | 129 | $331.80 | |
| 92551 | <1% | 31 | $238.68 | |
| 87807 | <1% | 12 | $147.39 | |
| 85018 | <1% | 38 | $87.14 | |
| 96127 | <1% | 24 | $66.70 | |
| 99051 | <1% | 59 | $26.25 | |
| 90686 | <1% | 90 | $12.11 | |
| 3008F | <1% | 1,516 | $1.56 | |
| 2014F | <1% | 144 | $0.13 | |
| 99072 | 0% | 61 | $0.00 | |
| 888888 | 0% | 69 | $0.00 | |
| 90698 | 0% | 12 | $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 officialNALLEY, MARY (CFO)
| Provider | Location | Paid |
|---|---|---|
| Bardstown Primary Care, PLLC | Bardstown, KY | $11.73M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.