Clinic
Clover Fork Outpatient Medical Project INC
Clover Fork Outpatient Medical Project INC was paid $1.43M by Medicaid between Jan 2018 and Nov 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoCLOVER FORK OUTPATIENT MEDICAL PROJECT INC
EVARTS, KY 40828
EVARTS, KY 40828
33aNPI1811939366assigned 06/11/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$1.43M
24GClaims124,578
24DCodes billed57
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Kentucky
Rank by total paid#5 of 44
Median peer was paid$145K
This provider vs. median9.9×
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 | 15,388 | $237K | |
| 2019 | 18,069 | $219K | |
| 2020 | 14,064 | $208K | |
| 2021 | 19,473 | $230K | |
| 2022 | 18,948 | $215K | |
| 2023 | 25,049 | $205K | |
| 2024incomplete | 13,587 | $119K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 51% | 27,242 | 21,927 | $736K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12% | 7,125 | 6,047 | $170K |
| 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 | 9.6% | 4,000 | 3,236 | $137K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.9% | 4,205 | 3,990 | $114K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 5.7% | 13,176 | 5,594 | $81K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.3% | 1,188 | 1,103 | $47K |
| D9110 | 1.9% | 1,137 | 1,041 | $27K | |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 1,589 | 1,474 | $17K |
| D1110 | Prophylaxis - adult | 1.0% | 334 | 310 | $14K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,875 | 1,343 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 524 | 481 | $7K |
| D1351 | Sealant - per tooth | <1% | 401 | 132 | $6K |
45 more codes
| D0274 | Bitewings - four radiographic images | <1% | 214 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 430 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 906 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,941 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 358 | $4K |
| 90688 | <1% | 270 | $4K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 975 | $4K |
| 90686 | <1% | 205 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 142 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 48 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 508 | $3K |
| 99441 | <1% | 255 | $3K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 69 | $2K |
| 80061 | Lipid panel | <1% | 215 | $2K |
| 90674 | <1% | 94 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 109 | $2K |
| D0120 | Dental checkup, returning patient | <1% | 61 | $2K |
| D0190 | <1% | 67 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 16 | $954.27 |
| 0011A | <1% | 25 | $830.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 23 | $585.65 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $508.80 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 186 | $494.11 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 12 | $484.47 |
| 0012A | <1% | 12 | $440.00 | |
| 0124A | <1% | 20 | $400.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 40 | $254.77 |
| D0272 | Bitewings - two radiographic images | <1% | 14 | $212.38 |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 44 | $201.88 |
| 3008F | <1% | 23,525 | $110.29 | |
| D0603 | <1% | 1,700 | $28.50 | |
| 3074F | <1% | 7,840 | $26.69 | |
| 3078F | <1% | 7,748 | $24.25 | |
| 36416 | <1% | 61 | $4.90 | |
| 3079F | <1% | 1,363 | $4.05 | |
| 3077F | <1% | 794 | $1.41 | |
| 3080F | <1% | 73 | $0.43 | |
| 3075F | <1% | 204 | $0.40 | |
| 1159F | 0% | 3,506 | $0.00 | |
| 1160F | 0% | 3,496 | $0.00 | |
| 99442 | 0% | 15 | $0.00 | |
| 1125F | 0% | 1,447 | $0.00 | |
| D0602 | 0% | 21 | $0.00 | |
| 1126F | 0% | 703 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 15 | $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.
From NPPES
Who's on the registration
Authorized officialLEWIS, BRITT (ADMINISTRATOR)