C & M Medical LLC

C & M Medical LLC was paid $139K by Medicaid between Jan 2018 and May 2021, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.

33Billing provider infoC & M MEDICAL LLC
LONDON, KY 40741

33aNPI1669827119assigned 05/03/2016

33bProvider typeFamily Nurse Practitioner

28Total paid$139K

24GClaims7,178

24DCodes billed19

24AFirst – last monthJan 2018 – May 2021

Compared with peers

Next to other Family Nurse Practitioner providers in Kentucky

Rank by total paid#103 of 424

Median peer was paid$19K

This provider vs. median7.4×

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	3,571	$74K
2019	2,144	$40K
2020	942	$21K
2021	521	$4K

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	53%	3,419	2,552	$74K
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	21%	764	648	$29K
J0696	Injection, ceftriaxone sodium, per 250 mg	8.6%	422	334	$12K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	7.1%	718	547	$10K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.8%	99	93	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.5%	189	153	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.2%	168	149	$2K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.1%	131	69	$2K
99452		<1%	68	60	$1K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	13	12	$1K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	17	16	$583.78
80305		<1%	71	64	$555.58

7 more codes

J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	112	$308.05
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	139	$302.41
81000		<1%	139	$161.25
81002		<1%	199	$126.50
99441		<1%	13	$67.90
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	441	$0.17
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	0%	56	$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 officialMONACO, COURTNEY (OWNER)