Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Elkhorn Primary Care

Elkhorn Primary Care was paid $298K by Medicaid between Jan 2018 and Jun 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.

33Billing provider infoELKHORN PRIMARY CARE
ELKHORN CITY, KY 41522
33aNPI1780106591assigned 07/13/2017
28Total paid$298K
24GClaims12,878
24DCodes billed15
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Kentucky

Rank by total paid#68 of 424
Median peer was paid$19K
This provider vs. median16×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20181,912$38K
20191,702$40K
20202,378$61K
20212,803$61K
20222,206$52K
20231,500$35K
2024incomplete377$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 88% 10,007 7,404 $261K
80305 6.5% 1,789 690 $19K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.0% 139 109 $6K
99335 1.3% 136 88 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 177 163 $2K
90756 <1% 86 80 $1K
99490 Ccm add 20min <1% 302 215 $1K
90661 <1% 66 58 $947.94
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 12 12 $827.05
90674 <1% 50 48 $695.84
99441 <1% 17 17 $359.52
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 42 37 $242.22
3 more codes
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 14 $217.50
99406 <1% 25 $153.32
G0444 Annual depression screening, 5 to 15 minutes <1% 16 $12.31

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 officialBRANHAM, CRYSTAL (OWNER)