Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CLARK REGIONAL PHYSICIAN PRACTICES LLC

NPI: 1841953783 · WINCHESTER, KY 40391 · Rural Health Clinic/Center · NPI assigned 10/18/2021

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BOWMAN, MONICA controls 20+ related entities in our dataset. Read more

$2.97M
Total Medicaid Paid
214,130
Total Claims
194,304
Beneficiaries
72
Codes Billed
2022-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOWMAN, MONICA (PRESIDENT)
NPI Enumeration Date10/18/2021

Related Entities

Other providers sharing the same authorized official: BOWMAN, MONICA

ProviderCityStateTotal Paid
DLP MARQUETTE PHYSICIAN PRACTICES INC MARQUETTE MI $17.80M
CLARK REGIONAL PHYSICIAN PRACTICES, LLC WINCHESTER KY $9.45M
KENTUCKY MSO, LLC GEORGETOWN KY $6.59M
PINELAKE PHYSICIAN PRACTICE, LLC MAYFIELD KY $2.26M
PORTAGE PHYSICIAN PRACTICES INC HANCOCK MI $1.63M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.39M
COLORADO PLAINS PHYSICIAN PRACTICES LLC FORT MORGAN CO $1.28M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.27M
NORTHWEST ALABAMA EMERGENCY MEDICINE LLC FLORENCE AL $1.24M
DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC HENDERSON NC $897K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $847K
PORTAGE PHYSICIAN PRACTICES INC. HOUGHTON MI $763K
DLP CONEMAUGH PHYSICIAN PRACTICES LLC ROARING SPRING PA $761K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $529K
KENTUCKY MSO LLC GEORGETOWN KY $406K
RCCH TRIOS PHYSICIANS LLC KENNEWICK WA $401K
NATIONAL PARK CARDIOLOGY SERVICES, LLC HOT SPRINGS AR $341K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $331K
KENTUCKY MSO LLC GEORGETOWN KY $282K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $266K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 50,052 $955K
2023 103,376 $1.02M
2024 60,702 $993K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29,840 26,868 $996K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,358 8,420 $495K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,282 3,213 $255K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,932 2,793 $201K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,385 2,317 $184K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,519 1,404 $163K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,068 5,911 $140K
87428 2,452 2,235 $107K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,827 5,370 $83K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 849 821 $74K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,480 1,306 $70K
90472 Immunization administration, each additional vaccine (list separately) 4,408 4,311 $65K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,190 1,125 $44K
87430 2,039 1,959 $30K
90474 1,579 1,540 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 280 270 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 93 85 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 232 163 $5K
83036 Hemoglobin; glycosylated (A1C) 743 656 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 95 89 $3K
92558 267 260 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 196 164 $2K
99381 30 24 $2K
96127 432 370 $2K
87807 120 116 $2K
99383 17 16 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 24 15 $1K
99173 86 84 $1K
85018 426 407 $970.26
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14 14 $858.30
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 19 13 $397.50
36416 143 139 $360.05
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 18 16 $260.73
90680 1,552 1,537 $227.86
96381 13 13 $213.50
96161 77 70 $213.40
81002 242 203 $114.04
81003 166 141 $90.73
90686 572 560 $68.24
90633 1,210 1,176 $60.58
90696 208 198 $49.44
3044F 194 175 $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) 26 25 $11.87
3074F 16,890 15,253 $0.02
3078F 14,446 13,104 $0.02
3008F 25,371 22,664 $0.01
90697 1,006 996 $0.00
1036F 8,949 7,907 $0.00
1034F 1,966 1,688 $0.00
3079F 4,231 3,794 $0.00
3075F 640 580 $0.00
90619 202 190 $0.00
90381 13 13 $0.00
99000 19 17 $0.00
90716 190 186 $0.00
90620 13 13 $0.00
90651 90 90 $0.00
90698 52 52 $0.00
90656 137 135 $0.00
1160F 24,502 21,669 $0.00
1159F 24,499 21,666 $0.00
3725F 4,767 4,325 $0.00
90707 183 179 $0.00
90670 1,351 1,328 $0.00
90700 227 226 $0.00
90710 276 263 $0.00
90671 1,031 1,013 $0.00
3077F 70 56 $0.00
90648 182 182 $0.00
90715 74 74 $0.00
90734 19 19 $0.00
90682 31 30 $0.00