Monroe County Health Department
Monroe County Health Department was paid $229K by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 43% of everything it billed.
TOMPKINSVILLE, KY 42167
Next to other Public Health or Welfare Agency providers in Kentucky
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,434 | $66K | |
| 2019 | 1,592 | $44K | |
| 2020 | 473 | $17K | |
| 2021 | 592 | $20K | |
| 2022 | 751 | $24K | |
| 2023 | 833 | $32K | |
| 2024incomplete | 790 | $25K |
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 | 43% | 2,657 | 2,580 | $99K |
| 90461 | 34% | 1,284 | 1,243 | $78K | |
| 90734 | 4.2% | 394 | 372 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.3% | 226 | 214 | $8K |
| D1206 | Topical application of fluoride varnish | 3.3% | 458 | 410 | $8K |
| 90633 | 2.5% | 805 | 797 | $6K | |
| 90619 | 1.7% | 126 | 114 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 178 | 176 | $4K |
| 99384 | 1.1% | 37 | 31 | $3K | |
| 90715 | <1% | 294 | 266 | $2K | |
| 92551 | <1% | 226 | 198 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 43 | 40 | $2K |
14 more codes
| 90686 | <1% | 240 | $1K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 26 | $1K |
| 0031A | <1% | 16 | $520.00 | |
| 90670 | <1% | 64 | $404.80 | |
| 90710 | <1% | 80 | $331.20 | |
| 90647 | <1% | 37 | $294.40 | |
| 99383 | <1% | 15 | $286.74 | |
| 90696 | <1% | 39 | $202.40 | |
| 99173 | <1% | 78 | $168.84 | |
| 90723 | <1% | 24 | $165.60 | |
| 36416 | <1% | 12 | $36.00 | |
| 0012A | <1% | 24 | $28.39 | |
| 0011A | <1% | 29 | $16.94 | |
| 91301 | 0% | 53 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Pai Participant 1 LLC | Chillicothe, OH | $733K |
| Pai Participant 9 PA | Elgin, TX | $119K |
| Pai Participant Ma PC | East Boston, MA | $292.09 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.