Clinic
Casa San Pio Clinics of Appalachia, LLC
Casa San Pio Clinics of Appalachia, LLC was paid $2.57M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoCASA SAN PIO CLINICS OF APPALACHIA, LLC
STANTON, KY 40380
STANTON, KY 40380
33aNPI1982976700assigned 02/09/2012
33bProvider typeRural Health Clinic/Center
28Total paid$2.57M
24GClaims105,807
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#23 of 265
Median peer was paid$400K
This provider vs. median6.4×
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 | 18,674 | $381K | |
| 2019 | 16,521 | $391K | |
| 2020 | 11,070 | $317K | |
| 2021 | 12,881 | $345K | |
| 2022 | 17,060 | $402K | |
| 2023 | 15,721 | $378K | |
| 2024incomplete | 13,880 | $361K |
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 | 56% | 49,964 | 35,297 | $1.44M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 16% | 11,168 | 8,073 | $412K |
| 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 | 12% | 7,495 | 6,315 | $309K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.2% | 2,083 | 1,906 | $107K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.1% | 5,126 | 4,649 | $81K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.0% | 3,886 | 1,827 | $51K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.7% | 3,755 | 2,887 | $43K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 3,264 | 3,016 | $43K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 328 | 198 | $23K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 222 | 200 | $16K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 196 | 190 | $15K |
| 80305 | <1% | 851 | 570 | $8K |
44 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 101 | $5K |
| 99051 | <1% | 1,815 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 151 | $3K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 44 | $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 | <1% | 311 | $3K |
| 99173 | <1% | 162 | $2K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 590 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 33 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 16 | $1K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 393 | $1K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 83 | $684.02 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 17 | $622.82 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 56 | $554.79 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 49 | $552.10 |
| 99406 | <1% | 66 | $390.28 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 187 | $359.09 |
| 90756 | <1% | 16 | $297.18 | |
| 81003 | <1% | 620 | $232.98 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 893 | $219.30 |
| 90658 | <1% | 18 | $204.45 | |
| 87807 | <1% | 14 | $170.32 | |
| 96160 | <1% | 82 | $167.40 | |
| 82962 | <1% | 71 | $165.80 | |
| 96127 | <1% | 13 | $34.80 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 198 | $0.54 |
| 3074F | <1% | 106 | $0.35 | |
| 3078F | <1% | 87 | $0.26 | |
| 1170F | <1% | 68 | $0.16 | |
| 3008F | <1% | 9,746 | $0.13 | |
| 1126F | <1% | 35 | $0.09 | |
| 1101F | <1% | 67 | $0.04 | |
| 1000F | <1% | 111 | $0.04 | |
| 1030F | <1% | 65 | $0.04 | |
| 1158F | <1% | 52 | $0.04 | |
| 1160F | <1% | 80 | $0.04 | |
| 1159F | <1% | 91 | $0.04 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 456 | $0.00 |
| 3017F | 0% | 17 | $0.00 | |
| 1034F | 0% | 73 | $0.00 | |
| 91301 | 0% | 13 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 68 | $0.00 |
| 3725F | 0% | 238 | $0.00 | |
| 3288F | 0% | 27 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 70 | $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 officialKASSIS, TAUFIK (AUTHORIZED OFFICIAL)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.