Physician
Eastern Kentucky Family Medicine PLLC
Eastern Kentucky Family Medicine PLLC was paid $247K by Medicaid between Jan 2018 and Nov 2020, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoEASTERN KENTUCKY FAMILY MEDICINE PLLC
PAINTSVILLE, KY 41240
PAINTSVILLE, KY 41240
33aNPI1730337247assigned 09/09/2008
33bProvider typeFamily Medicine Physician
28Total paid$247K
24GClaims10,729
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#128 of 352
Median peer was paid$90K
This provider vs. median2.8×
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 | 5,690 | $113K | |
| 2019 | 1,726 | $41K | |
| 2020 | 3,313 | $94K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 37% | 3,410 | 1,674 | $92K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 3,052 | 2,355 | $87K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 9.2% | 1,775 | 520 | $23K |
| T2023 | Targeted case management; per month | 5.8% | 62 | 50 | $14K |
| H0001 | Alcohol and/or drug assessment | 3.8% | 399 | 167 | $9K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 3.0% | 143 | 123 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.5% | 237 | 195 | $4K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.3% | 139 | 84 | $3K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 1.2% | 147 | 93 | $3K |
| 99406 | <1% | 286 | 242 | $2K | |
| 80305 | <1% | 277 | 187 | $2K | |
| 86328 | <1% | 37 | 33 | $602.80 |
7 more codes
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 344 | $451.72 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 19 | $237.12 |
| 99310 | Prolong nursin fac eval 15m | <1% | 160 | $207.14 |
| 90658 | <1% | 12 | $172.20 | |
| 36416 | <1% | 40 | $75.74 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 130 | $41.13 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 60 | $14.06 |
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 officialCASTLE, JASON (SOLE MEMBER)