Clinic
Betsy Layne Primary Care, PLLC
Betsy Layne Primary Care, PLLC was paid $240K by Medicaid between May 2018 and Aug 2023, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
33Billing provider infoBETSY LAYNE PRIMARY CARE, PLLC
PIKEVILLE, KY 41501
PIKEVILLE, KY 41501
33aNPI1831601699assigned 11/01/2017
33bProvider typeClinic/Center
28Total paid$240K
24GClaims13,516
24DCodes billed14
24AFirst – last monthMay 2018 – Aug 2023
Compared with peers
Next to other Clinic/Center providers in Kentucky
Rank by total paid#21 of 42
Median peer was paid$224K
This provider vs. median1.1×
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 | 215 | $5K | |
| 2019 | 761 | $14K | |
| 2020 | 6,391 | $102K | |
| 2021 | 3,909 | $77K | |
| 2022 | 1,908 | $38K | |
| 2023 | 332 | $4K |
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 | 76% | 8,162 | 4,699 | $183K |
| 80305 | 8.8% | 3,192 | 1,549 | $21K | |
| 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 | 4.7% | 209 | 149 | $11K |
| 99441 | 3.3% | 349 | 267 | $8K | |
| 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 | 1.4% | 94 | 84 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.4% | 340 | 287 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 74 | 59 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 315 | 133 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 590 | 452 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 42 | 38 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 37 | 27 | $874.50 |
| 99442 | <1% | 17 | 17 | $805.28 |
2 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 42 | $540.40 |
| 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% | 53 | $298.72 |
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 officialKIDD, LOREN (OWNER/PROVIDER)
| Provider | Location | Paid |
|---|---|---|
| Betsy Layne Primary Care, PLLC | Minnie, KY | $65K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.