Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CLARK REGIONAL PHYSICIAN PRACTICES LLC

NPI: 1780356253 · MT STERLING, KY 40353 · Rural Health Clinic/Center · NPI assigned 10/01/2021

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BOWMAN, MONICA controls 20+ related entities in our dataset. Read more

$242K
Total Medicaid Paid
26,070
Total Claims
21,945
Beneficiaries
30
Codes Billed
2021-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOWMAN, MONICA (PRESIDENT)
NPI Enumeration Date10/01/2021

Related Entities

Other providers sharing the same authorized official: BOWMAN, MONICA

ProviderCityStateTotal Paid
DLP MARQUETTE PHYSICIAN PRACTICES INC MARQUETTE MI $17.80M
CLARK REGIONAL PHYSICIAN PRACTICES, LLC WINCHESTER KY $9.45M
KENTUCKY MSO, LLC GEORGETOWN KY $6.59M
CLARK REGIONAL PHYSICIAN PRACTICES LLC WINCHESTER KY $2.97M
PINELAKE PHYSICIAN PRACTICE, LLC MAYFIELD KY $2.26M
PORTAGE PHYSICIAN PRACTICES INC HANCOCK MI $1.63M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.39M
COLORADO PLAINS PHYSICIAN PRACTICES LLC FORT MORGAN CO $1.28M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.27M
NORTHWEST ALABAMA EMERGENCY MEDICINE LLC FLORENCE AL $1.24M
DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC HENDERSON NC $897K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $847K
PORTAGE PHYSICIAN PRACTICES INC. HOUGHTON MI $763K
DLP CONEMAUGH PHYSICIAN PRACTICES LLC ROARING SPRING PA $761K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $529K
KENTUCKY MSO LLC GEORGETOWN KY $406K
RCCH TRIOS PHYSICIANS LLC KENNEWICK WA $401K
NATIONAL PARK CARDIOLOGY SERVICES, LLC HOT SPRINGS AR $341K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $331K
KENTUCKY MSO LLC GEORGETOWN KY $282K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 17 $298.44
2022 3,970 $55K
2023 13,121 $75K
2024 8,962 $111K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 803 702 $93K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,372 2,045 $71K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 935 824 $41K
87430 910 795 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 303 278 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 319 273 $4K
36415 Collection of venous blood by venipuncture 1,003 912 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 28 25 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 108 96 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 92 43 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 13 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 46 44 $929.16
96127 175 162 $440.24
81002 535 493 $403.87
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 47 44 $380.83
1159F 2,673 2,164 $0.00
3078F 917 806 $0.00
1160F 2,605 2,107 $0.00
3725F 1,603 1,366 $0.00
3077F 14 12 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 65 51 $0.00
3079F 1,380 1,213 $0.00
3074F 2,087 1,817 $0.00
1034F 893 717 $0.00
3008F 3,486 2,898 $0.00
1036F 2,249 1,718 $0.00
1035F 282 218 $0.00
1220F 49 39 $0.00
3075F 65 58 $0.00
3044F 13 12 $0.00