Clinic
Family Health Care Associates
Family Health Care Associates was paid $4.01M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 61% of everything it billed.
33Billing provider infoFAMILY HEALTH CARE ASSOCIATES
MANCHESTER, KY 40962
MANCHESTER, KY 40962
33aNPI1851765481assigned 11/19/2015
33bProvider typeRural Health Clinic/Center
28Total paid$4.01M
24GClaims181,021
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#10 of 265
Median peer was paid$400K
This provider vs. median10×
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 GOOD, GINA controls 12+ 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 | |
|---|---|---|---|
| 2018 | 976 | $12K | |
| 2019 | 2,772 | $55K | |
| 2020 | 8,930 | $304K | |
| 2021 | 34,031 | $691K | |
| 2022 | 47,116 | $979K | |
| 2023 | 49,577 | $1.11M | |
| 2024incomplete | 37,619 | $863K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 61% | 113,222 | 78,941 | $2.45M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 27,551 | 19,909 | $745K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.1% | 5,585 | 4,801 | $165K |
| 99441 | 4.1% | 6,018 | 5,293 | $163K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.9% | 8,308 | 6,039 | $158K |
| 99173 | 1.9% | 2,941 | 2,626 | $77K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 5,891 | 5,391 | $58K |
| 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% | 881 | 696 | $34K |
| 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% | 686 | 610 | $27K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 461 | 423 | $21K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,879 | 1,482 | $18K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,448 | 1,299 | $17K |
28 more codes
| 90688 | <1% | 1,378 | $16K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,152 | $14K |
| 92551 | <1% | 2,004 | $14K | |
| 90734 | <1% | 92 | $8K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 263 | $6K |
| 99442 | <1% | 95 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 83 | $4K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 122 | $3K |
| 99383 | <1% | 44 | $2K | |
| 99385 | <1% | 31 | $2K | |
| 99382 | <1% | 34 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $850.44 |
| 99384 | <1% | 19 | $759.20 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 135 | $733.96 |
| 90715 | <1% | 12 | $342.29 | |
| 90461 | <1% | 17 | $291.56 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 307 | $251.99 |
| 77080 | <1% | 31 | $247.17 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 12 | $164.88 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 54 | $156.72 |
| 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% | 16 | $131.14 |
| 86580 | <1% | 37 | $130.26 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 80 | $125.00 |
| 92552 | <1% | 23 | $119.34 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 33 | $27.76 |
| J2315 | Injection, naltrexone, depot form, 1 mg | <1% | 23 | $0.01 |
| 36416 | 0% | 25 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 15 | $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 officialGOOD, GINA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Family Health Care Associates of Barbourville INC | Barbourville, KY | $3.53M |
| Family Health Care Associates 2 | Annville, KY | $866K |
| Family Health Care Associates 4 | Harlan, KY | $310K |
| Family Health Care Associates 3 | Somerset, KY | $58K |
| Family Health Care Associates 7 Limited Liability Company | Whitley City, KY | $41K |
| Family Health Care Associates 5 Limited Liability Company | Pineville, KY | $15K |
| Family Health Care Associates 6 Limited Liability Company | Lewisport, KY | $12K |
| Family Health Care Associates 8 Limited Liability Company | Waynesburg, KY | $8K |
| Family Health Care Associates 11 Limited Liability Company | London, KY | $2K |
| Family Health Care Associates of Kentucky, INC. | Manchester, KY | $1K |
| Family Health Care Associates 10 | Lancaster, KY | $966.12 |
| Family Health Care Associates 9 | Williamsburg, KY | $446.52 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.