Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MOUNTAIN FAMILY PRACTICE CLINIC OF MANCHESTER INC

NPI: 1689919078 · MANCHESTER, KY 40962 · Family Medicine Physician · NPI assigned 12/11/2012

$4.61M
Total Medicaid Paid
174,968
Total Claims
100,165
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOX, KIM (OWNER/OPERATOR)
NPI Enumeration Date12/11/2012

Related Entities

Other providers sharing the same authorized official: COX, KIM

ProviderCityStateTotal Paid
FAMILY PRACTICE CLINIC OF BOONEVILLE, INC. BOONEVILLE KY $4.99M
LANCASTER FAMILY HEALTH CARE LANCASTER KY $91K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,164 $179K
2019 12,137 $337K
2020 18,401 $551K
2021 28,310 $827K
2022 33,236 $833K
2023 38,137 $943K
2024 37,583 $940K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 73,253 42,301 $2.18M
90832 Psychotherapy, 30 minutes with patient 34,283 15,341 $1.38M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 21,859 13,106 $486K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13,660 11,029 $164K
H0038 Self-help/peer services, per 15 minutes 15,873 6,266 $158K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,738 1,285 $58K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,265 2,015 $35K
87428 492 438 $25K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 2,041 963 $21K
90837 Psychotherapy, 53 minutes with patient 258 246 $20K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 425 389 $18K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,062 955 $17K
90834 Psychotherapy, 45 minutes with patient 347 312 $16K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 473 432 $16K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 228 206 $11K
36415 Collection of venous blood by venipuncture 3,355 3,040 $5K
90674 93 86 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 69 64 $844.15
90853 Group psychotherapy (other than of a multiple-family group) 52 33 $640.18
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 37 29 $516.91
J1100 Injection, dexamethasone sodium phosphate, 1 mg 178 164 $473.94
J0696 Injection, ceftriaxone sodium, per 250 mg 14 14 $367.81
90756 19 16 $182.32
J1885 Injection, ketorolac tromethamine, per 15 mg 112 105 $167.45
82570 1,728 1,279 $150.06
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 13 12 $45.48
81003 29 27 $10.50
91301 12 12 $0.04