Clinic
One Cross Health Clinic INC
One Cross Health Clinic INC was paid $2.58M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
33Billing provider infoONE CROSS HEALTH CLINIC INC
CAMPBELLSVILLE, KY 42718
CAMPBELLSVILLE, KY 42718
33aNPI1942606454assigned 11/10/2014
33bProvider typeClinic/Center
28Total paid$2.58M
24GClaims177,429
24DCodes billed67
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Kentucky
Rank by total paid#7 of 42
Median peer was paid$224K
This provider vs. median11×
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 | 7,302 | $141K | |
| 2019 | 6,856 | $141K | |
| 2020 | 11,519 | $351K | |
| 2021 | 11,196 | $331K | |
| 2022 | 63,267 | $414K | |
| 2023 | 28,141 | $544K | |
| 2024incomplete | 49,148 | $654K |
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 | 76% | 65,161 | 43,381 | $1.95M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.9% | 2,178 | 1,303 | $152K |
| 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 | 3.1% | 2,062 | 1,686 | $79K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.0% | 1,542 | 1,363 | $77K |
| 99490 | Ccm add 20min | 2.9% | 3,039 | 2,371 | $74K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.8% | 6,876 | 1,143 | $73K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,225 | 891 | $25K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,143 | 2,328 | $24K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 572 | 421 | $23K |
| 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 | <1% | 174 | 153 | $13K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,231 | 938 | $11K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 551 | 418 | $10K |
55 more codes
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 563 | $9K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 165 | $8K |
| 90838 | <1% | 157 | $7K | |
| 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% | 689 | $7K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,296 | $6K |
| 99173 | <1% | 200 | $6K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 40 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 293 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 100 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 270 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 34 | $2K |
| 92551 | <1% | 193 | $1K | |
| 98960 | <1% | 177 | $1K | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 4,592 | $1K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,277 | $951.51 |
| 99487 | Ccm add 20min | <1% | 24 | $848.61 |
| 87430 | <1% | 35 | $425.37 | |
| 81002 | <1% | 586 | $407.70 | |
| 72110 | <1% | 16 | $280.85 | |
| 81000 | <1% | 336 | $261.36 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 42 | $217.39 |
| 93000 | <1% | 51 | $185.89 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 12 | $183.53 |
| 96127 | <1% | 1,299 | $145.82 | |
| 3074F | <1% | 3,979 | $5.83 | |
| 3078F | <1% | 3,377 | $4.83 | |
| 3079F | <1% | 2,154 | $3.36 | |
| 1125F | <1% | 1,413 | $2.80 | |
| 1126F | <1% | 490 | $2.36 | |
| 3077F | <1% | 1,332 | $2.10 | |
| 3075F | <1% | 1,061 | $1.62 | |
| 3080F | <1% | 892 | $1.51 | |
| 2010F | <1% | 11,648 | $1.05 | |
| 3008F | <1% | 12,275 | $1.01 | |
| 90899 | <1% | 52 | $1.01 | |
| 1159F | <1% | 9,585 | $0.62 | |
| 1160F | <1% | 9,532 | $0.54 | |
| 0001F | <1% | 3,375 | $0.52 | |
| 2001F | <1% | 7,809 | $0.51 | |
| 1170F | <1% | 50 | $0.22 | |
| 99406 | <1% | 12 | $0.02 | |
| 3330F | 0% | 82 | $0.00 | |
| 2000F | 0% | 4,120 | $0.00 | |
| 1000F | 0% | 556 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 238 | $0.00 |
| J0698 | Injection, cefotaxime sodium, per gm | 0% | 24 | $0.00 |
| T1002 | Rn services, up to 15 minutes | 0% | 112 | $0.00 |
| 3044F | 0% | 22 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 732 | $0.00 |
| 3028F | 0% | 1,436 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 391 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 355 | $0.00 |
| 3016F | 0% | 35 | $0.00 | |
| 4120F | 0% | 27 | $0.00 | |
| 97803 | 0% | 62 | $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 officialMCKENNA, KIMBERLY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| One Cross Community, INC. | Lebanon, KY | $61K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.