Cecil Clinic, PLLC

Cecil Clinic, PLLC was paid $1.44M by Medicaid between Jan 2018 and Dec 2020, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoCECIL CLINIC, PLLC
PADUCAH, KY 42001

33aNPI1831448679assigned 09/07/2012

33bProvider typeFamily Nurse Practitioner

28Total paid$1.44M

24GClaims37,025

24DCodes billed19

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Family Nurse Practitioner providers in Kentucky

Rank by total paid#11 of 424

Median peer was paid$19K

This provider vs. median76×

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	12,778	$490K
2019	13,780	$525K
2020	10,467	$423K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	53%	14,725	13,809	$766K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	30%	12,355	11,653	$427K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	5.2%	724	698	$75K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.1%	943	909	$60K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.0%	457	424	$29K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	1.8%	323	308	$26K
96127		1.2%	5,387	5,202	$17K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	914	857	$13K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	100	97	$7K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	<1%	154	112	$6K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	135	125	$4K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	40	40	$3K

7 more codes

99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	19	$2K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	531	$1K
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	57	$1K
99406		<1%	107	$916.30
86328		<1%	12	$394.14
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	30	$359.62
36416		<1%	12	$30.39

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 officialCECIL, JOHN (SOLE MEMBER)