Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Pineville › NPI 1780217794
Clinic

Family Health Care Associates 5 Limited Liability Company

Family Health Care Associates 5 Limited Liability Company was paid $15K by Medicaid between Jan 2023 and Nov 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.

33Billing provider infoFAMILY HEALTH CARE ASSOCIATES 5 LIMITED LIABILITY COMPANY
PINEVILLE, KY 40977
33aNPI1780217794assigned 02/18/2020
28Total paid$15K
24GClaims1,397
24DCodes billed4
24AFirst – last monthJan 2023 – Nov 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in Kentucky

Rank by total paid#247 of 265
Median peer was paid$400K
This provider vs. median0.0×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GOOD, GINA controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500$1.0K$1.5K2018201920202021202220232024
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
2023759$4K
2024incomplete638$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 73% 865 636 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 20% 432 340 $3K
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 5.9% 34 31 $874.35
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.5% 66 50 $219.16

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 officialGOOD, GINA (OWNER)
Same official

Other billing entities under GOOD, GINA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.