Lab
Monroe Medical Foundation, INC.
Monroe Medical Foundation, INC. was paid $430K by Medicaid between Jan 2018 and May 2023, across 34 billing codes. Its largest line is 84443, Thyroid stimulating hormone (TSH) — 16% of everything it billed.
33Billing provider infoMONROE MEDICAL FOUNDATION, INC.
TOMPKINSVILLE, KY 42167
TOMPKINSVILLE, KY 42167
33aNPI1770776965assigned 08/22/2007
33bProvider typeClinical Medical Laboratory
28Total paid$430K
24GClaims42,712
24DCodes billed34
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Clinical Medical Laboratory providers in Kentucky
Rank by total paid#29 of 73
Median peer was paid$95K
This provider vs. median4.5×
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 | 7,277 | $109K | |
| 2019 | 8,412 | $88K | |
| 2020 | 7,458 | $69K | |
| 2021 | 8,607 | $75K | |
| 2022 | 8,597 | $73K | |
| 2023 | 2,361 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 84443 | Thyroid stimulating hormone (TSH) | 16% | 4,934 | 4,460 | $68K |
| 80053 | Comprehensive metabolic panel | 15% | 8,093 | 7,134 | $67K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 13% | 8,422 | 7,301 | $54K |
| 80061 | Lipid panel | 11% | 4,682 | 4,191 | $48K |
| 87581 | 9.1% | 1,180 | 1,082 | $39K | |
| 84480 | 7.4% | 2,801 | 2,487 | $32K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 5.4% | 248 | 231 | $23K |
| 84439 | 3.9% | 2,219 | 2,015 | $17K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 3.7% | 2,101 | 1,886 | $16K |
| 84436 | 3.6% | 2,826 | 2,512 | $15K | |
| 82607 | 3.0% | 1,137 | 999 | $13K | |
| 82746 | 1.4% | 553 | 491 | $6K |
22 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.3% | 150 | $6K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 1.2% | 251 | $5K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 565 | $4K |
| 87070 | <1% | 280 | $2K | |
| 82728 | <1% | 185 | $2K | |
| 84702 | <1% | 142 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 304 | $2K |
| 86140 | <1% | 347 | $1K | |
| 83540 | <1% | 280 | $1K | |
| 83690 | <1% | 201 | $1K | |
| 84153 | <1% | 88 | $1K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 14 | $983.59 |
| 84703 | <1% | 149 | $981.91 | |
| 83735 | <1% | 170 | $890.05 | |
| 82150 | <1% | 122 | $677.15 | |
| 86038 | <1% | 34 | $326.41 | |
| 85652 | <1% | 136 | $276.34 | |
| 86431 | <1% | 27 | $130.41 | |
| 84466 | <1% | 13 | $124.11 | |
| 84550 | <1% | 26 | $96.94 | |
| 81001 | <1% | 19 | $39.02 | |
| 85045 | <1% | 13 | $37.53 |
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 officialMCFALL, VICKY (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Monroe Medical Foundation, INC. | Tompkinsville, KY | $426K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.