Physician
Quantum Healthcare Associates INC
Quantum Healthcare Associates INC was paid $9.12M by Medicaid between Jan 2018 and Jul 2023, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoQUANTUM HEALTHCARE ASSOCIATES INC
HAZARD, KY 41701
HAZARD, KY 41701
33aNPI1972704179assigned 05/29/2007
33bProvider typeFamily Medicine Physician
28Total paid$9.12M
24GClaims312,329
24DCodes billed64
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#7 of 352
Median peer was paid$90K
This provider vs. median102×
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 | 39,238 | $1.13M | |
| 2019 | 50,849 | $1.43M | |
| 2020 | 50,745 | $1.64M | |
| 2021 | 77,964 | $2.24M | |
| 2022 | 67,233 | $1.93M | |
| 2023 | 26,300 | $753K |
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 | 41% | 113,149 | 98,789 | $3.76M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 15% | 53,047 | 18,376 | $1.40M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.8% | 14,193 | 4,466 | $527K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.3% | 31,263 | 29,314 | $396K |
| 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% | 6,324 | 5,699 | $279K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.9% | 6,294 | 5,865 | $268K |
| 99225 | 2.9% | 8,278 | 4,938 | $262K | |
| 99219 | 2.9% | 5,996 | 5,485 | $261K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.4% | 16,724 | 7,995 | $218K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 3,290 | 3,104 | $203K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.0% | 4,087 | 3,791 | $183K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.9% | 2,422 | 2,362 | $176K |
52 more codes
| 99217 | 1.9% | 4,377 | $175K | |
| 99203 | Doctor's office visit, new patient (routine) | 1.8% | 3,162 | $168K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.6% | 9,028 | $148K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.6% | 4,296 | $146K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 1.1% | 4,304 | $103K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.1% | 3,951 | $101K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 1,751 | $64K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 729 | $58K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 644 | $50K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 680 | $47K |
| 99349 | <1% | 1,110 | $33K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 637 | $20K |
| 99334 | <1% | 295 | $18K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 114 | $9K |
| 90658 | <1% | 467 | $6K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 145 | $4K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 446 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 217 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 35 | $3K |
| 81025 | <1% | 338 | $2K | |
| 0002A | <1% | 88 | $2K | |
| 90670 | <1% | 985 | $2K | |
| 90688 | <1% | 185 | $2K | |
| 0001A | <1% | 88 | $1K | |
| 90723 | <1% | 669 | $1K | |
| 81003 | <1% | 4,157 | $1K | |
| 99305 | <1% | 34 | $864.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 90 | $831.97 |
| 90710 | <1% | 241 | $825.88 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 382 | $805.19 |
| 99381 | <1% | 13 | $785.80 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 691 | $762.13 |
| 90680 | <1% | 582 | $728.70 | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 19 | $724.42 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 168 | $706.96 |
| 76818 | <1% | 24 | $612.36 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 132 | $580.64 |
| 90633 | <1% | 877 | $549.69 | |
| 90647 | <1% | 654 | $543.19 | |
| 87807 | <1% | 48 | $502.82 | |
| 0003A | <1% | 12 | $420.00 | |
| 76801 | <1% | 13 | $293.20 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 39 | $286.09 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 22 | $139.80 |
| 86580 | <1% | 85 | $139.51 | |
| 90734 | <1% | 19 | $117.41 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 61 | $76.52 |
| 90685 | <1% | 96 | $41.52 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 12 | $3.12 |
| 90700 | 0% | 12 | $0.00 | |
| 888888 | 0% | 26 | $0.00 | |
| 90648 | 0% | 12 | $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 officialCASTLE, CONNIE (MANAGING DIRECTOR)