Physician
Caldwell County Hospital INC
Caldwell County Hospital INC was paid $548K by Medicaid between Sep 2019 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoCALDWELL COUNTY HOSPITAL INC
PRINCETON, KY 42445
PRINCETON, KY 42445
33aNPI1992268247assigned 04/12/2019
33bProvider typeFamily Medicine Physician
28Total paid$548K
24GClaims16,951
24DCodes billed22
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#93 of 352
Median peer was paid$90K
This provider vs. median6.1×
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 | |
|---|---|---|---|
| 2019 | 456 | $13K | |
| 2020 | 2,163 | $72K | |
| 2021 | 3,104 | $103K | |
| 2022 | 3,814 | $120K | |
| 2023 | 4,109 | $128K | |
| 2024incomplete | 3,305 | $113K |
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 | 62% | 9,980 | 8,336 | $338K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 1,341 | 1,270 | $67K |
| 90461 | 6.0% | 878 | 827 | $33K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.3% | 321 | 310 | $24K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.2% | 362 | 345 | $23K |
| 87428 | 3.9% | 743 | 677 | $21K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.6% | 546 | 492 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 751 | 665 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 436 | 293 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 60 | 55 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 42 | 41 | $3K |
| 87807 | <1% | 300 | 271 | $3K |
10 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 186 | $2K |
| 90670 | <1% | 260 | $2K | |
| 90686 | <1% | 230 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 33 | $780.90 |
| 90677 | <1% | 37 | $300.65 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 44 | $230.02 |
| 90648 | <1% | 298 | $218.71 | |
| 90651 | <1% | 13 | $130.42 | |
| 90723 | <1% | 74 | $70.72 | |
| 90688 | <1% | 16 | $15.90 |
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 officialCARPENTER, TERESA (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Caldwell County Hospital, INC | Princeton, KY | $16.36M |
| Caldwell County Hospital, INC | Princeton, KY | $450K |
| Caldwell County Hospital, INC | Princeton, KY | $252K |
| Caldwell County Hospital INC | Fredonia, KY | $72K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.