Pineville Community Hospital Assn INC.

Pineville Community Hospital Assn INC. was paid $1.14M by Medicaid between Jan 2018 and May 2019, across 86 billing codes. Its largest line is 99283, emergency room visit (moderate) — 27% of everything it billed.

33Billing provider infoPINEVILLE COMMUNITY HOSPITAL ASSN INC.
PINEVILLE, KY 40977

33aNPI1821085440assigned 09/29/2005

33bProvider typeGeneral Acute Care Hospital

28Total paid$1.14M

24GClaims49,628

24DCodes billed86

24AFirst – last monthJan 2018 – May 2019

Compared with peers

Next to other General Acute Care Hospital providers in Kentucky

Rank by total paid#34 of 36

Median peer was paid$36.08M

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.

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	41,481	$876K
2019	8,147	$260K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	27%	2,537	1,945	$302K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	17%	914	653	$197K
99282	Emergency department visit for the evaluation and management, low to moderate severity	9.6%	1,360	1,141	$110K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	6.1%	1,335	679	$70K
74176	Computed tomography, abdomen and pelvis; without contrast material	5.1%	382	312	$58K
71046	Radiologic examination, chest; 2 views	3.7%	1,574	1,054	$42K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	3.0%	111	94	$34K
70450	Computed tomography, head or brain; without contrast material	2.3%	343	213	$26K
G0378	Hospital observation service, per hour	1.9%	285	176	$22K
80053	Comprehensive metabolic panel	1.9%	3,811	3,168	$22K
84443	Thyroid stimulating hormone (TSH)	1.8%	1,529	1,382	$20K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.7%	4,453	3,591	$20K

74 more codes

80061	Lipid panel	1.6%	1,538	$18K
72100		1.3%	277	$15K
76700	Ultrasound, abdominal, real time with image documentation; complete	1.3%	179	$15K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	1.3%	1,131	$15K
96375	Therapeutic injection; each additional sequential IV push	1.3%	557	$15K
36415	Collection of venous blood by venipuncture	1.1%	9,651	$13K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	533	$11K
71045	Radiologic examination, chest; single view	<1%	501	$9K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	1,034	$8K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	160	$8K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	294	$7K
82607		<1%	545	$7K
80074		<1%	197	$7K
83036	Hemoglobin; glycosylated (A1C)	<1%	800	$5K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	334	$5K
80048	Basic metabolic panel (calcium, ionized)	<1%	907	$3K
84439		<1%	475	$3K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	85	$3K
84436		<1%	563	$3K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	57	$3K
81001		<1%	1,619	$3K
84479		<1%	560	$3K
73562		<1%	100	$2K
73030		<1%	134	$2K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	28	$2K
96376		<1%	154	$2K
87086	Culture, bacterial; quantitative colony count, urine	<1%	552	$2K
84484		<1%	763	$2K
83540		<1%	378	$2K
87430		<1%	316	$2K
84703		<1%	453	$2K
82746		<1%	119	$1K
94664		<1%	191	$1K
82728		<1%	138	$1K
73110		<1%	47	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	190	$1K
73130		<1%	70	$984.29
83690		<1%	430	$974.21
80305		<1%	238	$940.32
73630		<1%	65	$928.01
83550		<1%	165	$908.50
72040		<1%	44	$808.37
86038		<1%	72	$734.83
83735		<1%	225	$733.32
73610		<1%	34	$674.15
85610		<1%	273	$545.63
82948		<1%	281	$486.24
82150		<1%	131	$437.03
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	19	$378.00
82550		<1%	68	$367.43
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	716	$353.06
87040		<1%	143	$329.96
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	<1%	198	$301.03
84153		<1%	19	$283.83
80320		<1%	33	$271.47
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	782	$234.55
J7120	Ringers lactate infusion, up to 1000 cc	<1%	460	$231.73
85652		<1%	137	$230.18
87186		<1%	51	$180.54
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	284	$174.29
J2704	Injection, propofol, 10 mg	<1%	53	$144.29
84550		<1%	50	$139.20
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	56	$119.04
87077		<1%	42	$105.67
36600		<1%	30	$105.27
82043		<1%	23	$81.72
85730		<1%	30	$72.53
86431		<1%	16	$67.20
85379		<1%	16	$60.28
82803		<1%	13	$52.14
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	21	$42.36
J2270	Injection, morphine sulfate, up to 10 mg	<1%	115	$40.31
J2360	Injection, orphenadrine citrate, up to 60 mg	<1%	13	$11.18
J7512	Prednisone, immediate release or delayed release, oral, 1 mg	<1%	18	$2.13

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 officialCOUCH, KEVIN (CONTROLLER)