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PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC

Clinic/Center, Rural Health·HAZARD, KY·NPI: 1942275805Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$26.3M

$26,297,090

Total Claims

1.2M

Beneficiaries

999K

1.2 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$3.5M
+0%
2019
$3.6M
+15%
2020
$4.1M
-7%
2021
$3.8M
+3%
2022
$3.9M
+4%
2023
$4.1M
-20%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 46% of total spending.

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$12.0M

382K claims · 45.6%

Your Cost: $31.32/claim|Median: $37.81
0.8× median
87804Top 25%

Influenza virus detection, rapid test

$2.4M

96K claims · 9.0%

Your Cost: $24.71/claim|Median: $12.59
2.0× median
99212Normal range

Office/outpatient visit, low complexity

$2.3M

99K claims · 8.9%

Your Cost: $23.71/claim|Median: $25.06
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$1.9M

139K claims · 7.1%

Your Cost: $13.46/claim|Median: $11.48
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$840K

28K claims · 3.2%

Your Cost: $29.52/claim|Median: $23.99
1.2× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$527K

11K claims · 2.0%

Your Cost: $46.21/claim|Median: $35.43
1.3× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$443K

13K claims · 1.7%

Your Cost: $34.54/claim|Median: $32.07
1.1× median
99307Top 5%

$324K

12K claims · 1.2%

Your Cost: $27.36/claim|Median: $6.57
4.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$318K

7,475 claims · 1.2%

Your Cost: $42.57/claim|Median: $57.39
0.7× median
D1110Normal range

Prophylaxis, adult cleaning

$301K

8,081 claims · 1.1%

Your Cost: $37.28/claim|Median: $43.38
0.9× median
80053Normal range

Comprehensive metabolic panel

$270K

35K claims · 1.0%

Your Cost: $7.67/claim|Median: $7.24
1.1× median
D0330Normal range

Panoramic radiographic image

$258K

6,751 claims · 1.0%

Your Cost: $38.21/claim|Median: $37.36
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$256K

44K claims · 1.0%

Your Cost: $5.76/claim|Median: $4.71
1.2× median
D1120Top 10%

Prophylaxis, adult

$215K

4,689 claims · 0.8%

Your Cost: $45.87/claim|Median: $33.86
1.4× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$207K

3,888 claims · 0.8%

Your Cost: $53.32/claim|Median: $71.00
0.8× median
J0696Top 5%

$198K

6,681 claims · 0.8%

Your Cost: $29.57/claim|Median: $1.34
22.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$195K

2,938 claims · 0.7%

Your Cost: $66.30/claim|Median: $75.18
0.9× median
D0274Normal range

Bitewings, four radiographic images

$192K

8,647 claims · 0.7%

Your Cost: $22.22/claim|Median: $22.54
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$188K

3,037 claims · 0.7%

Your Cost: $62.01/claim|Median: $69.35
0.9× median
84443Normal range

Thyroid stimulating hormone (TSH)

$173K

14K claims · 0.7%

Your Cost: $12.00/claim|Median: $9.87
1.2× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$161K

4,372 claims · 0.6%

Your Cost: $36.72/claim|Median: $37.22
1.0× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$158K

9,431 claims · 0.6%

Your Cost: $16.74/claim|Median: $30.04
0.6× median
99225Normal range

$143K

4,692 claims · 0.5%

Your Cost: $30.58/claim|Median: $20.96
1.5× median
D2391Normal range

Resin-based composite, one surface, posterior

$136K

3,126 claims · 0.5%

Your Cost: $43.36/claim|Median: $54.60
0.8× median
99217Normal range

$134K

3,433 claims · 0.5%

Your Cost: $39.08/claim|Median: $31.89
1.2× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$106K

8,462 claims · 0.4%

Your Cost: $12.49/claim|Median: $10.51
1.2× median
D1208Normal range

Topical application of fluoride, excluding varnish

$103K

7,341 claims · 0.4%

Your Cost: $14.05/claim|Median: $14.36
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$101K

1,470 claims · 0.4%

Your Cost: $68.85/claim|Median: $99.21
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$94K

1,548 claims · 0.4%

Your Cost: $61.04/claim|Median: $74.82
0.8× median
99219Normal range

$94K

2,178 claims · 0.4%

Your Cost: $42.99/claim|Median: $63.35
0.7× median
80061Normal range

Lipid panel

$92K

11K claims · 0.3%

Your Cost: $8.54/claim|Median: $8.41
1.0× median
76830Normal range

Ultrasound, transvaginal

$84K

2,509 claims · 0.3%

Your Cost: $33.33/claim|Median: $57.47
0.6× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$76K

12K claims · 0.3%

Your Cost: $6.25/claim|Median: $5.50
1.1× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$67K

6,483 claims · 0.3%

Your Cost: $10.36/claim|Median: $8.72
1.2× median
G2025Top 25%

$66K

2,622 claims · 0.2%

Your Cost: $24.98/claim|Median: $15.63
1.6× median
76815Normal range

Ultrasound, pregnant uterus, limited

$53K

1,974 claims · 0.2%

Your Cost: $26.68/claim|Median: $36.79
0.7× median
99308Top 5%

Nursing facility care, subsequent, straightforward

$47K

1,151 claims · 0.2%

Your Cost: $40.63/claim|Median: $9.79
4.1× median
M0243Normal range

$45K

473 claims · 0.2%

Your Cost: $95.62/claim|Median: $215.21
0.4× median
D9110Normal range

$45K

1,564 claims · 0.2%

Your Cost: $28.55/claim|Median: $38.08
0.7× median
M0245Top 25%

$44K

121 claims · 0.2%

Your Cost: $365.39/claim|Median: $246.46
1.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$43K

999 claims · 0.2%

Your Cost: $43.41/claim|Median: $40.11
1.1× median
D0140Top 10%

Limited oral evaluation, problem focused

$43K

888 claims · 0.2%

Your Cost: $47.97/claim|Median: $27.07
1.8× median
D0120Normal range

Periodic oral evaluation, established patient

$38K

1,447 claims · 0.1%

Your Cost: $26.00/claim|Median: $24.34
1.1× median
99222Normal range

Initial hospital care, per day, moderate complexity

$35K

779 claims · 0.1%

Your Cost: $45.27/claim|Median: $51.25
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$33K

524 claims · 0.1%

Your Cost: $62.78/claim|Median: $67.32
0.9× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$32K

1,010 claims · 0.1%

Your Cost: $32.14/claim|Median: $33.85
0.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$31K

773 claims · 0.1%

Your Cost: $39.98/claim|Median: $58.55
0.7× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$31K

642 claims · 0.1%

Your Cost: $47.67/claim|Median: $43.85
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$28K

374 claims · 0.1%

Your Cost: $75.36/claim|Median: $80.15
0.9× median
99334Top 5%

$28K

580 claims · 0.1%

Your Cost: $48.41/claim|Median: $9.92
4.9× median

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