Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

George Carl Borst III PSC

George Carl Borst III PSC was paid $438K by Medicaid between Jan 2018 and Oct 2023, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.

33Billing provider infoGEORGE CARL BORST III PSC
ASHLAND, KY 41101
33aNPI1013956051assigned 06/05/2006
28Total paid$438K
24GClaims37,070
24DCodes billed46
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Kentucky

Rank by total paid#3 of 15
Median peer was paid$17K
This provider vs. median26×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20183,878$62K
20193,559$51K
20205,230$62K
20216,633$66K
20229,134$102K
20238,636$94K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 31% 5,592 4,853 $138K
83970 9.6% 1,918 1,667 $42K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 9.1% 1,222 1,052 $40K
84443 Thyroid stimulating hormone (TSH) 7.0% 3,190 2,802 $31K
76536 6.5% 940 827 $28K
84439 3.7% 3,195 2,803 $16K
84480 3.5% 1,840 1,598 $15K
82024 3.4% 682 585 $15K
84432 3.2% 1,695 1,494 $14K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2.7% 797 716 $12K
84681 2.4% 1,066 921 $10K
80048 Basic metabolic panel (calcium, ionized) 2.1% 2,011 1,743 $9K
34 more codes
84481 1.8% 899 $8K
82533 1.7% 731 $7K
82627 1.4% 584 $6K
83525 1.3% 1,040 $6K
99213 Doctor's office visit, returning patient (routine) 1.2% 255 $5K
83036 Hemoglobin; glycosylated (A1C) <1% 811 $4K
82626 <1% 148 $4K
84100 <1% 1,231 $3K
82948 <1% 1,100 $3K
83721 <1% 524 $3K
86800 <1% 303 $2K
86376 <1% 313 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 602 $2K
82746 <1% 310 $2K
82607 <1% 285 $2K
83735 <1% 537 $2K
36415 Collection of venous blood by venipuncture <1% 2,338 $1K
82157 <1% 65 $1K
82308 <1% 54 $807.97
84445 <1% 27 $656.27
80076 <1% 179 $630.04
95251 <1% 76 $619.89
82310 <1% 151 $369.18
80061 Lipid panel <1% 67 $312.91
86140 <1% 68 $166.12
84305 <1% 14 $145.15
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% 39 $144.79
85651 <1% 66 $134.99
83003 <1% 14 $113.76
82728 <1% 17 $89.11
82570 <1% 26 $61.95
83550 <1% 17 $57.14
83540 <1% 17 $42.28
82043 <1% 14 $32.90

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 officialBORST, GEORGE (PRESIDENT)
Same official

Other billing entities under BORST, GEORGE

Full network →
ProviderLocationPaid
George Carl Borst III PSCAshland, KY$33K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.