Family Health Care Associates 3
Family Health Care Associates 3 was paid $58K by Medicaid between Aug 2020 and Sep 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
SOMERSET, KY 42501
Next to other Rural Health Clinic/Center providers in Kentucky
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 194 | $1K | |
| 2022 | 1,801 | $34K | |
| 2023 | 915 | $15K | |
| 2024incomplete | 280 | $7K |
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 | 61% | 1,454 | 1,028 | $35K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 10% | 509 | 424 | $6K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 9.5% | 190 | 161 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.4% | 287 | 235 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.1% | 108 | 98 | $5K |
| 99173 | 1.1% | 45 | 38 | $661.50 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.0% | 83 | 40 | $601.01 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 37 | 32 | $248.42 |
| 92551 | <1% | 20 | 15 | $42.84 | |
| J2315 | Injection, naltrexone, depot form, 1 mg | <1% | 360 | 323 | $38.05 |
| 36415 | Collection of venous blood by venipuncture | <1% | 97 | 84 | $11.73 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Family Health Care Associates | Manchester, KY | $4.01M |
| Family Health Care Associates of Barbourville INC | Barbourville, KY | $3.53M |
| Family Health Care Associates 2 | Annville, KY | $866K |
| Family Health Care Associates 4 | Harlan, KY | $310K |
| Family Health Care Associates 7 Limited Liability Company | Whitley City, KY | $41K |
| Family Health Care Associates 5 Limited Liability Company | Pineville, KY | $15K |
| Family Health Care Associates 6 Limited Liability Company | Lewisport, KY | $12K |
| Family Health Care Associates 8 Limited Liability Company | Waynesburg, KY | $8K |
| Family Health Care Associates 11 Limited Liability Company | London, KY | $2K |
| Family Health Care Associates of Kentucky, INC. | Manchester, KY | $1K |
| Family Health Care Associates 10 | Lancaster, KY | $966.12 |
| Family Health Care Associates 9 | Williamsburg, KY | $446.52 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.