Clinic
Monroe Medical Foundation INC
Monroe Medical Foundation INC was paid $170K by Medicaid between Sep 2022 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.
33Billing provider infoMONROE MEDICAL FOUNDATION INC
TOMPKINSVILLE, KY 42167
TOMPKINSVILLE, KY 42167
33aNPI1689255671assigned 04/20/2021
33bProvider typeRural Health Clinic/Center
28Total paid$170K
24GClaims4,753
24DCodes billed12
24AFirst – last monthSep 2022 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#185 of 265
Median peer was paid$400K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2022 | 99 | $1K | |
| 2023 | 2,017 | $55K | |
| 2024incomplete | 2,637 | $114K |
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 | 67% | 3,043 | 2,533 | $115K |
| 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 | 23% | 733 | 637 | $40K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 6.0% | 113 | 102 | $10K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.4% | 44 | 40 | $2K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.1% | 51 | 45 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 103 | 84 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 18 | 12 | $33.80 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 16 | 13 | $7.80 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 32 | 27 | $3.68 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 361 | 303 | $1.78 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 16 | 15 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 223 | 188 | $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 officialMELTON, ALISA (ASST. C.F.O.)
| Provider | Location | Paid |
|---|---|---|
| Monroe Medical Foundation INC | Tompkinsville, KY | $123K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.