Caldwell County Hospital, INC
Caldwell County Hospital, INC was paid $450K by Medicaid between Jul 2018 and Nov 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoCALDWELL COUNTY HOSPITAL, INC
PRINCETON, KY 42445
PRINCETON, KY 42445
33aNPI1891207460assigned 11/03/2017
33bProvider typeSpeech-Language Pathologist
28Total paid$450K
24GClaims19,065
24DCodes billed38
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other Speech-Language Pathologist providers in Kentucky
Rank by total paid#13 of 52
Median peer was paid$82K
This provider vs. median5.5×
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 | 963 | $17K | |
| 2019 | 1,918 | $38K | |
| 2020 | 1,804 | $46K | |
| 2021 | 4,661 | $102K | |
| 2022 | 3,127 | $64K | |
| 2023 | 3,441 | $89K | |
| 2024incomplete | 3,151 | $94K |
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 | 31% | 4,391 | 3,428 | $139K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 4,878 | 3,489 | $115K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 19% | 4,500 | 1,346 | $86K |
| 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 | 10% | 904 | 737 | $45K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.3% | 621 | 504 | $24K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.9% | 232 | 191 | $8K |
| 20610 | 1.1% | 221 | 176 | $5K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.0% | 791 | 713 | $5K |
| 87428 | <1% | 162 | 144 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 128 | 103 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 157 | 119 | $3K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 172 | 51 | $2K |
26 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 192 | $2K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 417 | $1K |
| 93248 | <1% | 103 | $1K | |
| 90461 | <1% | 35 | $940.80 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 16 | $810.84 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 64 | $662.74 |
| 97161 | <1% | 13 | $651.43 | |
| 90686 | <1% | 73 | $572.22 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 55 | $511.38 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $471.70 |
| 99307 | <1% | 176 | $412.82 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 94 | $398.23 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 33 | $328.47 |
| 97597 | <1% | 26 | $268.65 | |
| 87807 | <1% | 32 | $225.35 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 50 | $125.91 |
| 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% | 15 | $107.47 |
| 3078F | <1% | 152 | $0.26 | |
| 3077F | <1% | 49 | $0.13 | |
| 93356 | <1% | 18 | $0.13 | |
| 3074F | <1% | 48 | $0.10 | |
| 3075F | <1% | 13 | $0.02 | |
| 99024 | 0% | 121 | $0.00 | |
| 90648 | 0% | 14 | $0.00 | |
| 90670 | 0% | 15 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 68 | $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 officialCARPENTER, TERESA (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Caldwell County Hospital, INC | Princeton, KY | $16.36M |
| Caldwell County Hospital INC | Princeton, KY | $548K |
| Caldwell County Hospital, INC | Princeton, KY | $252K |
| Caldwell County Hospital INC | Fredonia, KY | $72K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.