Physician
Wayne County Hospital INC
Wayne County Hospital INC was paid $1.25M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoWAYNE COUNTY HOSPITAL INC
MONTICELLO, KY 42633
MONTICELLO, KY 42633
33aNPI1841239332assigned 06/06/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.25M
24GClaims41,691
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#59 of 352
Median peer was paid$90K
This provider vs. median14×
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 | 7,314 | $211K | |
| 2019 | 6,513 | $194K | |
| 2020 | 5,355 | $156K | |
| 2021 | 6,485 | $198K | |
| 2022 | 7,959 | $258K | |
| 2023 | 5,264 | $160K | |
| 2024incomplete | 2,801 | $72K |
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 | 60% | 20,546 | 17,578 | $744K |
| 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 | 12% | 2,976 | 2,581 | $151K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.1% | 1,154 | 1,072 | $76K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 5.2% | 1,801 | 1,633 | $65K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 4.7% | 4,111 | 3,344 | $58K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.2% | 1,075 | 983 | $39K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.1% | 3,178 | 2,966 | $39K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 1.8% | 1,621 | 1,418 | $23K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 2,313 | 2,203 | $14K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.0% | 297 | 262 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 454 | 437 | $12K |
| 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 | <1% | 38 | 38 | $4K |
9 more codes
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 574 | $4K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,195 | $2K |
| 99318 | <1% | 15 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $1K |
| 99307 | <1% | 40 | $741.97 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 172 | $580.49 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 61 | $268.20 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 35 | $119.27 |
| 81003 | <1% | 21 | $5.85 |
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 officialMURRELL, JOHN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Wayne County Hospital, INC | Monticello, KY | $17.66M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.