Clinic
Kentucky River Physician Corporation
Kentucky River Physician Corporation was paid $948K by Medicaid between Jan 2018 and Sep 2021, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoKENTUCKY RIVER PHYSICIAN CORPORATION
JACKSON, KY 41339
JACKSON, KY 41339
33aNPI1831411354assigned 02/25/2010
33bProvider typePrimary Care Clinic/Center
28Total paid$948K
24GClaims51,931
24DCodes billed54
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Primary Care Clinic/Center providers in Kentucky
Rank by total paid#11 of 44
Median peer was paid$145K
This provider vs. median6.5×
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 FEY, LAURA controls 20+ related entities in our dataset. Read more
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 | 21,373 | $384K | |
| 2019 | 14,302 | $288K | |
| 2020 | 13,929 | $263K | |
| 2021 | 2,327 | $13K |
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 | 32% | 14,435 | 10,600 | $303K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 14% | 6,021 | 2,706 | $137K |
| 99222 | Initial hospital care, per day, moderate complexity | 12% | 2,067 | 1,795 | $110K |
| 99238 | Hospital discharge day management, 30 minutes or less | 10% | 3,189 | 2,740 | $95K |
| 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 | 5.2% | 1,661 | 1,401 | $49K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 5.0% | 4,200 | 2,799 | $48K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 4.1% | 1,776 | 1,252 | $39K |
| 99217 | 3.9% | 1,050 | 920 | $37K | |
| 99218 | 2.4% | 624 | 568 | $23K | |
| 99307 | 2.1% | 1,581 | 1,469 | $20K | |
| 36415 | Collection of venous blood by venipuncture | 1.3% | 4,537 | 3,609 | $13K |
| 99497 | 1.2% | 713 | 591 | $12K |
42 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 189 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 621 | $9K |
| 99490 | Ccm add 20min | <1% | 1,332 | $6K |
| 99224 | <1% | 341 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 477 | $5K |
| 99406 | <1% | 834 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 376 | $4K |
| 90686 | <1% | 355 | $4K | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 906 | $4K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 36 | $2K |
| 90688 | <1% | 173 | $2K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 666 | $1K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 461 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 72 | $858.15 |
| 99441 | <1% | 80 | $749.66 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 80 | $668.66 |
| 99221 | <1% | 18 | $579.96 | |
| J2360 | Injection, orphenadrine citrate, up to 60 mg | <1% | 142 | $486.27 |
| 99442 | <1% | 31 | $409.89 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 295 | $352.63 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 96 | $306.22 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 80 | $152.30 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 30 | $108.43 |
| 90662 | <1% | 85 | $55.69 | |
| G0008 | Administration of influenza virus vaccine | <1% | 208 | $32.40 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 84 | $11.95 |
| 3008F | <1% | 384 | $1.39 | |
| 3078F | <1% | 220 | $0.71 | |
| 3077F | <1% | 131 | $0.57 | |
| 3074F | <1% | 187 | $0.55 | |
| 3079F | <1% | 86 | $0.31 | |
| 3080F | <1% | 45 | $0.25 | |
| 3075F | <1% | 25 | $0.09 | |
| 1125F | <1% | 15 | $0.06 | |
| 1126F | <1% | 12 | $0.02 | |
| 1160F | <1% | 372 | $0.01 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 86 | $0.00 |
| 1159F | 0% | 109 | $0.00 | |
| 3288F | 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% | 12 | $0.00 |
| 1170F | 0% | 36 | $0.00 | |
| 1036F | 0% | 275 | $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 officialFEY, LAURA (SR. DIRECTOR PHYSICIAN REV CYCLE)
| Provider | Location | Paid |
|---|---|---|
| Mckenzie-Willamette Regional Medical Center Associates LLC | Springfield, OR | $44.67M |
| Deming Hospital Corporation | Deming, NM | $11.41M |
| Three Rivers Medical Clinics INC | Louisa, KY | $7.06M |
| Ambulance Services of Forrest City LLC | Forrest City, AR | $3.51M |
| Ambulance Services of Tooele, LLC | Tooele, UT | $3.42M |
| Paintsville Hma Physician Management, LLC | Paintsville, KY | $2.41M |
| Deming Clinic Corporation | Deming, NM | $2.06M |
| Fort Payne Clinic Corp. | Fort Payne, AL | $2.00M |
| San Miguel Clinic Corp | Las Vegas, NM | $1.76M |
| Fort Payne RHC Corp | Fort Payne, AL | $1.76M |
| Jackson Hospital Corporation | Beattyville, KY | $1.68M |
| Tooele Clinic Corp | Tooele, UT | $1.29M |
| Williamston Clinic Corp | Williamston, NC | $1.26M |
| Mckenzie Physician Services LLC | Brentwood, TN | $1.24M |
| Anna Hospital Corporation | Anna, IL | $1.17M |
| Big Bend Hospital Corporation | Alpine, TX | $952K |
| Fort Payne HBP LLC | Fort Payne, AL | $731K |
| Forrest City Clinic Company LLC | Forrest City, AR | $702K |
| Mesquite Clinic Management Company LLC | Logandale, NV | $597K |
| Mesquite Clinic Management Company LLC | Mesquite, NV | $556K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.