Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Bowling Green › NPI 1861873507
Physician

Zipclinic, PSC

Zipclinic, PSC was paid $4.45M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.

33Billing provider infoZIPCLINIC, PSC
BOWLING GREEN, KY 42104
33aNPI1861873507assigned 06/17/2015
28Total paid$4.45M
24GClaims184,877
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Physician providers in Kentucky

Rank by total paid#1 of 25
Median peer was paid$50K
This provider vs. median90×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201816,358$532K
201921,776$665K
202023,652$510K
202130,965$573K
202231,634$795K
202335,799$838K
2024incomplete24,693$538K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 34% 40,944 33,809 $1.52M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17% 19,952 15,772 $762K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 27,714 22,991 $663K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 13% 20,966 17,198 $574K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6.9% 31,939 13,965 $309K
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 6.5% 5,450 4,090 $292K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3.7% 16,698 14,624 $165K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.4% 5,345 4,237 $60K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.1% 5,821 3,196 $48K
87428 <1% 1,009 665 $27K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 743 474 $12K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,540 2,092 $4K
24 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 408 $4K
87807 <1% 302 $2K
99201 <1% 182 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 191 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 36 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 50 $1K
90688 <1% 109 $980.78
90756 <1% 60 $827.88
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 98 $825.19
99383 <1% 29 $651.80
99384 <1% 18 $647.82
36415 Collection of venous blood by venipuncture <1% 97 $348.90
86580 <1% 58 $235.85
90686 <1% 13 $216.23
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 30 $189.76
81002 <1% 508 $186.49
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 14 $178.43
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 14 $178.43
81003 <1% 921 $174.88
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 61 $149.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 28 $120.48
99000 <1% 2,473 $84.25
99429 <1% 37 $13.50
99499 <1% 19 $6.50

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 officialKNORR, MICHELE (SR CONTRACTING & CREDENTIALING SPEC)