Behavioral
Family Practice of Kentucky LLC
Family Practice of Kentucky LLC was paid $1.82M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 43% of everything it billed.
33Billing provider infoFAMILY PRACTICE OF KENTUCKY LLC
MANCHESTER, KY 40962
MANCHESTER, KY 40962
33aNPI1972979540assigned 08/18/2015
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$1.82M
24GClaims92,894
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Kentucky
Rank by total paid#33 of 112
Median peer was paid$240K
This provider vs. median7.6×
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 | 11,230 | $189K | |
| 2019 | 8,494 | $178K | |
| 2020 | 8,242 | $241K | |
| 2021 | 7,098 | $159K | |
| 2022 | 17,034 | $308K | |
| 2023 | 24,100 | $403K | |
| 2024incomplete | 16,696 | $338K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 43% | 35,615 | 27,119 | $784K |
| 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% | 18,301 | 12,165 | $472K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 18% | 26,136 | 17,411 | $332K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.6% | 1,998 | 1,804 | $83K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.4% | 1,215 | 1,127 | $44K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 996 | 763 | $41K |
| H0001 | Alcohol and/or drug assessment | 1.1% | 264 | 219 | $20K |
| 99201 | <1% | 275 | 252 | $10K | |
| 99385 | <1% | 107 | 93 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 398 | 282 | $4K |
| 99386 | <1% | 59 | 56 | $4K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 66 | 33 | $3K |
18 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 243 | $2K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 23 | $2K |
| 90632 | <1% | 58 | $2K | |
| 99304 | <1% | 56 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 142 | $1K |
| H0032 | Mental health service plan development by non-physician | <1% | 49 | $865.56 |
| 98966 | <1% | 96 | $403.12 | |
| 90674 | <1% | 24 | $229.50 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 36 | $60.75 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 220 | $0.00 |
| 1036F | 0% | 486 | $0.00 | |
| 99406 | 0% | 34 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,815 | $0.00 |
| 1160F | 0% | 562 | $0.00 | |
| 1159F | 0% | 562 | $0.00 | |
| G9400 | Documentation of medical or patient reason(s) for not discussing treatment options; medical reasons: patient is not a candidate for treatment due to advanced physical or mental health comorbidity (including active substance use); currently receiving antiviral treatment; successful antiviral treatment (with sustained virologic response) prior to reporting period; other documented medical reasons; patient reasons: patient unable or unwilling to participate in the discussion or other patient reasons | 0% | 15 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 15 | $0.00 |
| G9451 | Patient received one-time screening for hcv infection | 0% | 28 | $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 officialEDWARDS, EVA (OWNER)