Physician
East Ky Clinic
East Ky Clinic was paid $2.08M by Medicaid between Jan 2018 and Mar 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoEAST KY CLINIC
PAINTSVILLE, KY 41240
PAINTSVILLE, KY 41240
33aNPI1902147713assigned 03/05/2013
33bProvider typeInternal Medicine Physician
28Total paid$2.08M
24GClaims63,779
24DCodes billed12
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Internal Medicine Physician providers in Kentucky
Rank by total paid#15 of 231
Median peer was paid$77K
This provider vs. median27×
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 | 17,540 | $571K | |
| 2019 | 15,393 | $522K | |
| 2020 | 14,732 | $467K | |
| 2021 | 13,542 | $435K | |
| 2022 | 2,286 | $80K | |
| 2023 | 233 | $6K | |
| 2024incomplete | 53 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 55% | 26,939 | 19,264 | $1.14M |
| 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 | 13% | 14,047 | 9,117 | $273K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.6% | 2,023 | 1,789 | $138K |
| 99407 | 6.6% | 9,763 | 8,095 | $137K | |
| 93224 | 6.1% | 1,382 | 1,225 | $126K | |
| 93000 | 4.5% | 6,059 | 4,815 | $94K | |
| 94060 | 4.0% | 2,553 | 2,294 | $83K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.5% | 553 | 508 | $52K |
| 99205 | Prolong outpt/office vis | 1.6% | 315 | 290 | $34K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 70 | 70 | $6K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 60 | 47 | $202.88 |
| 99406 | <1% | 15 | 15 | $105.93 |
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 officialKOUSA, LOEY (MD)