Clinic
Clark Regional Physician Practices LLC
Clark Regional Physician Practices LLC was paid $2.97M by Medicaid between Jan 2022 and Dec 2024, across 72 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoCLARK REGIONAL PHYSICIAN PRACTICES LLC
WINCHESTER, KY 40391
WINCHESTER, KY 40391
33aNPI1841953783assigned 10/18/2021
33bProvider typeRural Health Clinic/Center
28Total paid$2.97M
24GClaims214,130
24DCodes billed72
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#21 of 265
Median peer was paid$400K
This provider vs. median7.4×
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 BOWMAN, MONICA 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 | |
|---|---|---|---|
| 2022 | 50,052 | $955K | |
| 2023 | 103,376 | $1.02M | |
| 2024incomplete | 60,702 | $993K |
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 | 34% | 29,840 | 26,868 | $996K |
| 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 | 17% | 9,358 | 8,420 | $495K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.6% | 3,282 | 3,213 | $255K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.8% | 2,932 | 2,793 | $201K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 2,385 | 2,317 | $184K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 5.5% | 1,519 | 1,404 | $163K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.7% | 6,068 | 5,911 | $140K |
| 87428 | 3.6% | 2,452 | 2,235 | $107K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.8% | 5,827 | 5,370 | $83K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 849 | 821 | $74K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.4% | 1,480 | 1,306 | $70K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.2% | 4,408 | 4,311 | $65K |
60 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 1,190 | $44K |
| 87430 | 1.0% | 2,039 | $30K | |
| 90474 | <1% | 1,579 | $16K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 280 | $7K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 93 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 232 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 743 | $4K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 95 | $3K |
| 92558 | <1% | 267 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 196 | $2K |
| 99381 | <1% | 30 | $2K | |
| 96127 | <1% | 432 | $2K | |
| 87807 | <1% | 120 | $2K | |
| 99383 | <1% | 17 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 24 | $1K |
| 99173 | <1% | 86 | $1K | |
| 85018 | <1% | 426 | $970.26 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $858.30 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 19 | $397.50 |
| 36416 | <1% | 143 | $360.05 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 18 | $260.73 |
| 90680 | <1% | 1,552 | $227.86 | |
| 96381 | <1% | 13 | $213.50 | |
| 96161 | <1% | 77 | $213.40 | |
| 81002 | <1% | 242 | $114.04 | |
| 81003 | <1% | 166 | $90.73 | |
| 90686 | <1% | 572 | $68.24 | |
| 90633 | <1% | 1,210 | $60.58 | |
| 90696 | <1% | 208 | $49.44 | |
| 3044F | <1% | 194 | $20.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 26 | $11.87 |
| 3074F | <1% | 16,890 | $0.02 | |
| 3078F | <1% | 14,446 | $0.02 | |
| 3008F | <1% | 25,371 | $0.01 | |
| 90697 | 0% | 1,006 | $0.00 | |
| 1036F | 0% | 8,949 | $0.00 | |
| 1034F | 0% | 1,966 | $0.00 | |
| 3079F | 0% | 4,231 | $0.00 | |
| 3075F | 0% | 640 | $0.00 | |
| 90619 | 0% | 202 | $0.00 | |
| 90381 | 0% | 13 | $0.00 | |
| 99000 | 0% | 19 | $0.00 | |
| 90716 | 0% | 190 | $0.00 | |
| 90620 | 0% | 13 | $0.00 | |
| 90651 | 0% | 90 | $0.00 | |
| 90698 | 0% | 52 | $0.00 | |
| 90656 | 0% | 137 | $0.00 | |
| 1160F | 0% | 24,502 | $0.00 | |
| 1159F | 0% | 24,499 | $0.00 | |
| 3725F | 0% | 4,767 | $0.00 | |
| 90707 | 0% | 183 | $0.00 | |
| 90670 | 0% | 1,351 | $0.00 | |
| 90700 | 0% | 227 | $0.00 | |
| 90710 | 0% | 276 | $0.00 | |
| 90671 | 0% | 1,031 | $0.00 | |
| 3077F | 0% | 70 | $0.00 | |
| 90648 | 0% | 182 | $0.00 | |
| 90715 | 0% | 74 | $0.00 | |
| 90734 | 0% | 19 | $0.00 | |
| 90682 | 0% | 31 | $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 officialBOWMAN, MONICA (PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.