Physician
Family Medical Specialty Clinic PLLC
Family Medical Specialty Clinic PLLC was paid $1.07M by Medicaid between Jan 2018 and Nov 2024, across 60 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoFAMILY MEDICAL SPECIALTY CLINIC PLLC
JACKSON, KY 41339
JACKSON, KY 41339
33aNPI1992863021assigned 12/04/2006
33bProvider typeInternal Medicine Physician
28Total paid$1.07M
24GClaims51,981
24DCodes billed60
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Kentucky
Rank by total paid#30 of 231
Median peer was paid$77K
This provider vs. median14×
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 | 15,456 | $307K | |
| 2019 | 9,151 | $213K | |
| 2020 | 7,016 | $152K | |
| 2021 | 8,218 | $133K | |
| 2022 | 4,573 | $104K | |
| 2023 | 3,835 | $82K | |
| 2024incomplete | 3,732 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 34% | 11,312 | 9,334 | $363K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 15,781 | 11,529 | $356K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 8.5% | 6,609 | 4,722 | $91K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 5.1% | 528 | 440 | $55K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 4.6% | 2,526 | 1,765 | $49K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.8% | 338 | 316 | $30K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 628 | 531 | $30K |
| 93000 | 1.6% | 1,611 | 1,326 | $17K | |
| 99490 | Ccm add 20min | <1% | 274 | 269 | $9K |
| 99441 | <1% | 412 | 353 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 693 | 634 | $7K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 55 | 39 | $4K |
48 more codes
| 99497 | <1% | 175 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 195 | $4K |
| 99442 | <1% | 112 | $4K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 136 | $4K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 633 | $4K |
| 90688 | <1% | 412 | $4K | |
| 90756 | <1% | 394 | $4K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 46 | $3K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 126 | $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% | 268 | $3K |
| 93015 | <1% | 68 | $2K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 3,532 | $2K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,993 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 150 | $2K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 625 | $2K |
| 99406 | <1% | 213 | $2K | |
| 71250 | <1% | 14 | $1K | |
| 20610 | <1% | 32 | $822.17 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 117 | $684.42 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 31 | $582.67 |
| 94727 | <1% | 12 | $200.47 | |
| 72100 | <1% | 15 | $178.28 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 33 | $137.99 |
| J1245 | Injection, dipyridamole, per 10 mg | <1% | 34 | $75.74 |
| G0008 | Administration of influenza virus vaccine | <1% | 206 | $67.50 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 243 | $58.50 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 17 | $21.40 |
| 81003 | <1% | 31 | $17.46 | |
| 81002 | <1% | 28 | $7.13 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 29 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 120 | $0.00 |
| 3288F | 0% | 73 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 99 | $0.00 |
| 3045F | 0% | 20 | $0.00 | |
| 4004F | 0% | 15 | $0.00 | |
| 90662 | 0% | 31 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 26 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 229 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 44 | $0.00 |
| 2022F | 0% | 66 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 14 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 119 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 32 | $0.00 |
| 90694 | 0% | 48 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 126 | $0.00 |
| 1036F | 0% | 162 | $0.00 | |
| G8866 | Documentation of patient reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient refusal) | 0% | 12 | $0.00 |
| 3044F | 0% | 58 | $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 officialABADILLA, JUNE (PRESIDENT)