Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Kentucky River District Health Department

Kentucky River District Health Department was paid $154K by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 80% of everything it billed.

33Billing provider infoKENTUCKY RIVER DISTRICT HEALTH DEPARTMENT
MOUSIE, KY 41839
33aNPI1912105578assigned 07/05/2007
28Total paid$154K
24GClaims3,833
24DCodes billed3
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Public Health or Welfare Agency providers in Kentucky

Rank by total paid#117 of 318
Median peer was paid$102K
This provider vs. median1.5×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official COOPER, KAREN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
2018395$17K
2019307$15K
2020109$6K
2021102$5K
2022493$20K
20231,476$54K
2024incomplete951$38K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 80% 3,327 1,810 $124K
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% 476 385 $30K
D1206 Topical application of fluoride varnish <1% 30 30 $562.50

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 officialCOOPER, KAREN (DISTRICT DIRECTOR)
Same official

Other billing entities under COOPER, KAREN

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.