Physician
Family Medical Center of Hart Co
Family Medical Center of Hart Co was paid $4.80M by Medicaid between Jan 2018 and Dec 2024, across 98 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoFAMILY MEDICAL CENTER OF HART CO
MUNFORDVILLE, KY 42765
MUNFORDVILLE, KY 42765
33aNPI1881659951assigned 04/20/2006
33bProvider typeFamily Medicine Physician
28Total paid$4.80M
24GClaims307,092
24DCodes billed98
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#14 of 352
Median peer was paid$90K
This provider vs. median54×
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 | 36,251 | $802K | |
| 2019 | 35,910 | $765K | |
| 2020 | 30,754 | $604K | |
| 2021 | 44,225 | $677K | |
| 2022 | 48,561 | $725K | |
| 2023 | 61,813 | $680K | |
| 2024incomplete | 49,578 | $547K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 59% | 61,702 | 51,776 | $2.81M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 19,949 | 17,732 | $671K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.8% | 28,958 | 26,552 | $184K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 2,383 | 2,302 | $165K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.3% | 7,907 | 7,434 | $159K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 2,369 | 2,089 | $145K |
| 99072 | 1.4% | 29,443 | 24,629 | $66K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 980 | 963 | $66K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 5,561 | 5,365 | $62K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 4,398 | 4,232 | $60K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.1% | 3,966 | 3,640 | $53K |
| 36415 | Collection of venous blood by venipuncture | <1% | 13,902 | 12,147 | $34K |
86 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,390 | $32K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 417 | $32K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 519 | $26K |
| 99051 | <1% | 7,228 | $22K | |
| 87081 | <1% | 3,421 | $21K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 498 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 757 | $19K |
| 36416 | <1% | 22,844 | $19K | |
| 99460 | <1% | 309 | $14K | |
| 99219 | <1% | 136 | $11K | |
| 99172 | <1% | 839 | $10K | |
| 92583 | <1% | 435 | $10K | |
| 81001 | <1% | 4,644 | $9K | |
| 95117 | <1% | 688 | $9K | |
| 99223 | Prolong inpt eval add15 m | <1% | 71 | $8K |
| 99220 | <1% | 53 | $6K | |
| 99217 | <1% | 116 | $6K | |
| 99235 | <1% | 40 | $5K | |
| 54150 | <1% | 67 | $5K | |
| 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% | 518 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 51 | $4K |
| 92552 | <1% | 350 | $4K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 60 | $3K |
| 99462 | <1% | 123 | $3K | |
| 95115 | <1% | 261 | $3K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 53 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 99 | $2K |
| 90633 | <1% | 893 | $2K | |
| 90688 | <1% | 127 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 25 | $2K |
| 90670 | <1% | 1,214 | $1K | |
| 90686 | <1% | 489 | $1K | |
| 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% | 2,293 | $1K |
| 80053 | Comprehensive metabolic panel | <1% | 533 | $996.39 |
| 90648 | <1% | 881 | $957.83 | |
| 80061 | Lipid panel | <1% | 680 | $880.56 |
| 99381 | <1% | 12 | $864.38 | |
| 99406 | <1% | 160 | $747.36 | |
| 90723 | <1% | 531 | $688.10 | |
| 90680 | <1% | 782 | $575.58 | |
| 90734 | <1% | 215 | $485.41 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 130 | $485.41 |
| 90716 | <1% | 287 | $456.94 | |
| 99490 | Ccm add 20min | <1% | 111 | $404.56 |
| 90707 | <1% | 290 | $382.14 | |
| 90671 | <1% | 357 | $307.40 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 27 | $290.94 |
| 90715 | <1% | 118 | $198.93 | |
| 90700 | <1% | 60 | $182.10 | |
| 99188 | <1% | 15 | $168.75 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 27 | $94.95 |
| 90651 | <1% | 145 | $88.90 | |
| 90619 | <1% | 20 | $82.00 | |
| 90696 | <1% | 57 | $73.60 | |
| 86308 | <1% | 14 | $66.78 | |
| 90697 | <1% | 399 | $36.27 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 2,071 | $36.24 |
| 888888 | <1% | 1,354 | $30.00 | |
| J1094 | Injection, dexamethasone acetate, 1 mg | <1% | 141 | $25.16 |
| 3078F | <1% | 18,585 | $24.86 | |
| 3074F | <1% | 17,985 | $23.86 | |
| 3077F | <1% | 2,313 | $21.88 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 26 | $11.99 |
| 3079F | <1% | 3,156 | $8.05 | |
| 3075F | <1% | 2,628 | $6.76 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 35 | $2.34 |
| 3080F | <1% | 740 | $2.04 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,788 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 2,303 | $0.00 |
| 3008F | 0% | 2,029 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 273 | $0.00 |
| J7609 | Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg | 0% | 12 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 89 | $0.00 |
| G9783 | Documentation of patients with diabetes who have a most recent fasting or direct ldl- c laboratory test result < 70 mg/dl and are not taking statin therapy | 0% | 17 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,767 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,157 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,810 | $0.00 |
| 1160F | 0% | 1,606 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 257 | $0.00 |
| 4013F | 0% | 190 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 217 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 13 | $0.00 |
| G9509 | Adult patients 18 years of age or older with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5 | 0% | 47 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 15 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 56 | $0.00 |
| 0124A | 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 officialMIDDLETON, JAMES (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Family Medical C Enter of Hart County | Munfordville, KY | $309K |
| North Florida Medical Sales & Rentals INC. | Lake City, FL | $61K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.