Medicaid Provider Spending

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

CASA SAN PIO CLINICS OF APPALACHIA, LLC

NPI: 1982976700 · STANTON, KY 40380 · Rural Health Clinic/Center · NPI assigned 02/09/2012

$2.57M
Total Medicaid Paid
105,807
Total Claims
78,832
Beneficiaries
56
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKASSIS, TAUFIK (AUTHORIZED OFFICIAL)
NPI Enumeration Date02/09/2012

Related Entities

Other providers sharing the same authorized official: KASSIS, TAUFIK

ProviderCityStateTotal Paid
COMMUNITY FAMILY CLINIC PLLC MT STERLING KY $2.78M
COMMUNITY FAMILY CLINIC PLLC OWINGSVILLE KY $2.47M
COMMUNITY FAMILY CLINIC PLLC FRENCHBURG KY $1.95M
MONTGOMERY FAMILY CARE LLC MOUNT STERLING KY $576K
STERLING TOXICOLOGY LLC MT STERLING KY $516K
COMMUNITY ADDICTION RECOVERY LLC STANTON KY $28K
COMMUNITY FAMILY CLINIC-SCHOOL LLC FRENCHBURG KY $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,674 $381K
2019 16,521 $391K
2020 11,070 $317K
2021 12,881 $345K
2022 17,060 $402K
2023 15,721 $378K
2024 13,880 $361K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 49,964 35,297 $1.44M
90832 Psychotherapy, 30 minutes with patient 11,168 8,073 $412K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,495 6,315 $309K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,083 1,906 $107K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 5,126 4,649 $81K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,886 1,827 $51K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,755 2,887 $43K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,264 3,016 $43K
90837 Psychotherapy, 53 minutes with patient 328 198 $23K
90791 Psychiatric diagnostic evaluation 222 200 $16K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 196 190 $15K
80305 851 570 $8K
90834 Psychotherapy, 45 minutes with patient 101 87 $5K
99051 1,815 1,647 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 151 131 $3K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 44 35 $3K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 311 278 $3K
99173 162 155 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 590 533 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 33 30 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 16 16 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 393 343 $1K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 83 51 $684.02
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 17 16 $622.82
71046 Radiologic examination, chest; 2 views 56 52 $554.79
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 49 47 $552.10
99406 66 65 $390.28
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 187 126 $359.09
90756 16 16 $297.18
81003 620 549 $232.98
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 893 839 $219.30
90658 18 18 $204.45
87807 14 13 $170.32
96160 82 81 $167.40
82962 71 66 $165.80
96127 13 12 $34.80
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 198 160 $0.54
3074F 106 102 $0.35
3078F 87 83 $0.26
1170F 68 63 $0.16
3008F 9,746 6,725 $0.13
1126F 35 34 $0.09
1101F 67 64 $0.04
1000F 111 107 $0.04
1030F 65 63 $0.04
1158F 52 50 $0.04
1160F 80 77 $0.04
1159F 91 88 $0.04
G8510 Screening for depression is documented as negative, a follow-up plan is not required 456 418 $0.00
3017F 17 16 $0.00
1034F 73 71 $0.00
91301 13 12 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 68 59 $0.00
3725F 238 220 $0.00
3288F 27 26 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 70 60 $0.00