Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FAMILY PRACTICE OF KENTUCKY LLC

NPI: 1972979540 · MANCHESTER, KY 40962 · Addiction (Substance Use Disorder) Counselor · NPI assigned 08/18/2015

$1.82M
Total Medicaid Paid
92,894
Total Claims
66,082
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEDWARDS, EVA (OWNER)
NPI Enumeration Date08/18/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 16,696 $338K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 35,615 27,119 $784K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,301 12,165 $472K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 26,136 17,411 $332K
90832 Psychotherapy, 30 minutes with patient 1,998 1,804 $83K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,215 1,127 $44K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 996 763 $41K
H0001 Alcohol and/or drug assessment 264 219 $20K
99201 275 252 $10K
99385 107 93 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 398 282 $4K
99386 59 56 $4K
90837 Psychotherapy, 53 minutes with patient 66 33 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 243 233 $2K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 23 19 $2K
90632 58 48 $2K
99304 56 56 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 142 94 $1K
H0032 Mental health service plan development by non-physician 49 27 $865.56
98966 96 54 $403.12
90674 24 21 $229.50
36415 Collection of venous blood by venipuncture 36 29 $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) 220 159 $0.00
1036F 486 318 $0.00
99406 34 14 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 4,815 2,716 $0.00
1160F 562 459 $0.00
1159F 562 459 $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 15 13 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 15 12 $0.00
G9451 Patient received one-time screening for hcv infection 28 27 $0.00