Arh Mary Breckinridge Health Services, INC.
Arh Mary Breckinridge Health Services, INC. was paid $1.17M by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
BARBOURVILLE, KY 40906
Next to other Rural Health Clinic/Center 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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,194 | $21K | |
| 2019 | 5,912 | $188K | |
| 2020 | 7,127 | $285K | |
| 2021 | 7,872 | $209K | |
| 2022 | 5,993 | $161K | |
| 2023 | 6,535 | $163K | |
| 2024incomplete | 5,477 | $144K |
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 | 43% | 17,964 | 14,516 | $504K |
| 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 | 31% | 10,202 | 8,235 | $363K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 12% | 1,951 | 1,488 | $144K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.1% | 643 | 588 | $37K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.9% | 493 | 424 | $34K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.7% | 155 | 134 | $20K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 1.1% | 781 | 624 | $13K |
| 36415 | Collection of venous blood by venipuncture | 1.0% | 6,016 | 5,284 | $12K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 98 | 95 | $12K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 248 | 211 | $8K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 51 | 44 | $6K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 375 | 322 | $3K |
20 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 126 | $3K |
| 45384 | <1% | 12 | $3K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 17 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 28 | $1K |
| 99442 | <1% | 53 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 136 | $1K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 41 | $974.67 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 69 | $862.47 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 76 | $828.36 |
| 90686 | <1% | 64 | $790.70 | |
| 0001A | <1% | 19 | $670.00 | |
| 0002A | <1% | 14 | $480.00 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 87 | $347.08 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 213 | $121.55 |
| G0008 | Administration of influenza virus vaccine | <1% | 12 | $110.70 |
| 91300 | <1% | 45 | $10.00 | |
| 3078F | 0% | 63 | $0.00 | |
| 3077F | 0% | 15 | $0.00 | |
| 3079F | 0% | 13 | $0.00 | |
| 3074F | 0% | 30 | $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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.