Physician
Western Ky Family Health Care INC
Western Ky Family Health Care INC was paid $738K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoWESTERN KY FAMILY HEALTH CARE INC
MAYFIELD, KY 42066
MAYFIELD, KY 42066
33aNPI1982845889assigned 03/23/2009
33bProvider typeAddiction Medicine (Family Medicine) Physician
28Total paid$738K
24GClaims47,999
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Addiction Medicine (Family Medicine) Physician providers in Kentucky
Rank by total paid#8 of 20
Median peer was paid$136K
This provider vs. median5.4×
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 | 15,132 | $211K | |
| 2019 | 6,277 | $119K | |
| 2020 | 4,123 | $61K | |
| 2021 | 6,142 | $77K | |
| 2022 | 6,329 | $105K | |
| 2023 | 6,238 | $98K | |
| 2024incomplete | 3,758 | $67K |
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 | 64% | 19,962 | 16,728 | $476K |
| 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 | 17% | 4,956 | 3,655 | $126K |
| 80305 | 6.4% | 5,250 | 4,275 | $48K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.4% | 1,033 | 878 | $25K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.2% | 1,616 | 870 | $16K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.6% | 1,461 | 985 | $12K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 1.2% | 776 | 643 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 641 | 586 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,992 | 2,550 | $5K |
| 99223 | Prolong inpt eval add15 m | <1% | 45 | 42 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 64 | 41 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 403 | 377 | $2K |
16 more codes
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 69 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 33 | $1K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 225 | $1K |
| 99441 | <1% | 41 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 33 | $1K |
| 80053 | Comprehensive metabolic panel | <1% | 151 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 41 | $690.61 |
| 99307 | <1% | 127 | $557.64 | |
| 81002 | <1% | 564 | $335.17 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 6,742 | $85.26 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 15 | $81.20 |
| G9578 | Documentation of signed opioid treatment agreement at least once during opioid therapy | <1% | 242 | $13.46 |
| 99000 | 0% | 112 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 17 | $0.00 |
| G8415 | Footwear evaluation was not performed | 0% | 38 | $0.00 |
| G9577 | Patients prescribed opiates for longer than six weeks | 0% | 350 | $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 officialCARRICO, JEFFREY (OWNER)