Arh Mary Breckinridge Health Services, INC.
Arh Mary Breckinridge Health Services, INC. was paid $1.46M by Medicaid between May 2018 and Nov 2024, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
MIDDLESBORO, KY 40965
Next to other Hematology & Oncology Physician 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 | |
|---|---|---|---|
| 2018 | 2,999 | $54K | |
| 2019 | 9,066 | $222K | |
| 2020 | 10,229 | $319K | |
| 2021 | 9,680 | $226K | |
| 2022 | 9,050 | $207K | |
| 2023 | 9,545 | $235K | |
| 2024incomplete | 6,406 | $193K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 50% | 20,421 | 16,304 | $731K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 14,645 | 12,006 | $374K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.8% | 2,390 | 2,006 | $69K |
| 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 | 3.9% | 987 | 775 | $56K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 1,622 | 1,372 | $41K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.4% | 3,308 | 2,431 | $35K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.6% | 2,150 | 1,779 | $24K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.4% | 506 | 424 | $20K |
| 36415 | Collection of venous blood by venipuncture | 1.3% | 6,775 | 5,879 | $19K |
| 93227 | <1% | 367 | 342 | $13K | |
| 93307 | <1% | 302 | 258 | $10K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 154 | 138 | $10K |
30 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 98 | $9K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 136 | $7K |
| 90686 | <1% | 408 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 449 | $6K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 158 | $5K |
| 97597 | <1% | 158 | $4K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 31 | $3K |
| 93000 | <1% | 207 | $3K | |
| 99406 | <1% | 305 | $2K | |
| 93016 | <1% | 189 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 113 | $2K |
| 93018 | <1% | 197 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 36 | $495.51 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 19 | $478.80 |
| Q3014 | Telehealth originating site facility fee | <1% | 81 | $450.38 |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 32 | $329.71 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 39 | $326.78 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 36 | $251.15 |
| 99307 | <1% | 12 | $213.60 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 287 | $139.82 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 65 | $70.80 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 34 | $64.74 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 27 | $22.05 |
| 3078F | 0% | 79 | $0.00 | |
| 3077F | 0% | 21 | $0.00 | |
| 3074F | 0% | 49 | $0.00 | |
| 3079F | 0% | 38 | $0.00 | |
| 3080F | 0% | 12 | $0.00 | |
| 3075F | 0% | 19 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 13 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.