NP / PA
Pikeville Medical Center INC.
Pikeville Medical Center INC. was paid $809K by Medicaid between Jan 2018 and Feb 2022, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoPIKEVILLE MEDICAL CENTER INC.
PIKEVILLE, KY 41501
PIKEVILLE, KY 41501
33aNPI1710207865assigned 06/10/2010
33bProvider typePhysician Assistant
28Total paid$809K
24GClaims33,351
24DCodes billed11
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Physician Assistant providers in Kentucky
Rank by total paid#59 of 214
Median peer was paid$134K
This provider vs. median6.0×
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 | 12,142 | $193K | |
| 2019 | 11,263 | $301K | |
| 2020 | 5,086 | $184K | |
| 2021 | 4,463 | $119K | |
| 2022 | 397 | $12K |
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 | 59% | 18,589 | 15,416 | $481K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 21% | 2,357 | 2,149 | $169K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 10% | 8,532 | 6,988 | $81K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 6.8% | 2,042 | 1,828 | $55K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 244 | 227 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,129 | 722 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 304 | 278 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 54 | 53 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 20 | 12 | $213.03 |
| 81003 | <1% | 56 | 49 | $26.79 | |
| 81002 | <1% | 24 | 12 | $10.32 |
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 officialHAGY, MICHELLE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Pikeville Medical Center INC | Pikeville, KY | $181.38M |
| Pikeville Medical Center INC. | Pikeville, KY | $34.42M |
| Pikeville Medical Center INC. | Pikeville, KY | $1.25M |
| Pikeville Medical Center, INC. (Pikeville Family Practice Clinic) | Pikeville, KY | $424K |
| Pikeville Medical Center INC | Pikeville, KY | $160K |
| Pikeville Medical Center INC | Pikeville, KY | $155K |
| Pikeville Medical Center, INC. | Pikeville, KY | $62K |
| Pikeville Medical Center, INC. | Grundy, VA | $749.26 |
| Pikeville Medical Center, INC. | Pikeville, KY | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.