Waynesburg Clinic, PLLC

Waynesburg Clinic, PLLC was paid $400K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.

33Billing provider infoWAYNESBURG CLINIC, PLLC
WAYNESBURG, KY 40489

33aNPI1669670816assigned 07/10/2007

33bProvider typeRural Health Clinic/Center

28Total paid$400K

24GClaims14,786

24DCodes billed22

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Rural Health Clinic/Center providers in Kentucky

Rank by total paid#133 of 265

Median peer was paid$400K

This provider vs. median1.0×

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	3,830	$84K
2019	2,665	$70K
2020	1,926	$59K
2021	2,179	$61K
2022	1,976	$57K
2023	1,437	$40K
2024incomplete	773	$30K

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	90%	12,163	10,357	$360K
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	1.8%	172	153	$7K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	1.8%	216	205	$7K
90460	Immunization administration through 18 years of age via any route, first or only component	1.7%	690	563	$7K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.0%	159	144	$4K
87400		<1%	307	123	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	53	43	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	53	35	$2K
90461		<1%	176	141	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	26	26	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	37	32	$910.46
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	72	57	$746.71

10 more codes

99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	22	$743.27
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	43	$694.30
99204	Doctor's office visit, new patient (more involved)	<1%	13	$645.17
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	85	$600.60
90633		<1%	302	$431.01
90686		<1%	64	$373.56
90734		<1%	30	$263.97
90649		<1%	47	$248.88
90658		<1%	24	$18.40
81002		<1%	32	$12.18

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 officialSIMS, CHRISTOPHER (MEDICAL DIRECTOR)

Same official

Other billing entities under SIMS, CHRISTOPHER

Full network →

Provider	Location	Paid
Lebanon Pediatric Dentistry, LLC	Lebanon, TN	$3.96M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.