Clark Regional Physician Practices LLC
Clark Regional Physician Practices LLC was paid $242K by Medicaid between Dec 2021 and Dec 2024, across 30 billing codes. Its largest line is 0241U, Neonatal screening for hereditary disorders, genomic sequence analysis panel — 38% of everything it billed.
MT STERLING, KY 40353
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 | |
|---|---|---|---|
| 2021 | 17 | $298.44 | |
| 2022 | 3,970 | $55K | |
| 2023 | 13,121 | $75K | |
| 2024incomplete | 8,962 | $111K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 38% | 803 | 702 | $93K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 2,372 | 2,045 | $71K |
| 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 | 17% | 935 | 824 | $41K |
| 87430 | 5.5% | 910 | 795 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 303 | 278 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 319 | 273 | $4K |
| 36415 | Collection of venous blood by venipuncture | 1.8% | 1,003 | 912 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 28 | 25 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 108 | 96 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 92 | 43 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | 13 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 46 | 44 | $929.16 |
18 more codes
| 96127 | <1% | 175 | $440.24 | |
| 81002 | <1% | 535 | $403.87 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 47 | $380.83 |
| 1159F | 0% | 2,673 | $0.00 | |
| 3078F | 0% | 917 | $0.00 | |
| 1160F | 0% | 2,605 | $0.00 | |
| 3725F | 0% | 1,603 | $0.00 | |
| 3077F | 0% | 14 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 65 | $0.00 |
| 3079F | 0% | 1,380 | $0.00 | |
| 3074F | 0% | 2,087 | $0.00 | |
| 1034F | 0% | 893 | $0.00 | |
| 3008F | 0% | 3,486 | $0.00 | |
| 1036F | 0% | 2,249 | $0.00 | |
| 1035F | 0% | 282 | $0.00 | |
| 1220F | 0% | 49 | $0.00 | |
| 3075F | 0% | 65 | $0.00 | |
| 3044F | 0% | 13 | $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.