LANCASTER FAMILY HEALTH CARE

NPI: 1942946710 · LANCASTER, KY 40444 · Oral and Maxillofacial Surgery Clinic/Center · NPI assigned 05/05/2022

$91K

Total Medicaid Paid

2,967

Total Claims

2,014

Beneficiaries

Codes Billed

2023-04

First Month

2024-12

Last Month

Provider Details

Authorized Official	COX, KIM (OWNER)
NPI Enumeration Date	05/05/2022

Other providers sharing the same authorized official: COX, KIM

Provider	City	State	Total Paid
FAMILY PRACTICE CLINIC OF BOONEVILLE, INC.	BOONEVILLE	KY	$4.99M
MOUNTAIN FAMILY PRACTICE CLINIC OF MANCHESTER INC	MANCHESTER	KY	$4.61M

Year	Claims	Total Paid
2023	947	$27K
2024	2,020	$64K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2,071	1,474	$64K
90832	Psychotherapy, 30 minutes with patient	562	339	$23K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	130	110	$3K
H0038	Self-help/peer services, per 15 minutes	178	67	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	26	24	$246.15