Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Paintsville › NPI 1023069937
Physician

Paintsville Hma Physician Management, LLC

Paintsville Hma Physician Management, LLC was paid $2.41M by Medicaid between Jan 2018 and Nov 2021, across 92 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoPAINTSVILLE HMA PHYSICIAN MANAGEMENT, LLC
PAINTSVILLE, KY 41240
33aNPI1023069937assigned 05/15/2006
33bProvider typeAnesthesiology Physician
28Total paid$2.41M
24GClaims120,218
24DCodes billed92
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers

Next to other Anesthesiology Physician providers in Kentucky

Rank by total paid#5 of 46
Median peer was paid$68K
This provider vs. median36×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official FEY, LAURA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
201828,495$561K
201930,339$619K
202025,861$539K
202135,523$687K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37% 36,976 28,223 $895K
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 9.1% 6,391 4,881 $219K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6.2% 13,021 9,196 $150K
99223 Prolong inpt eval add15 m 5.2% 2,257 1,781 $126K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5.2% 6,625 5,722 $125K
J0696 Injection, ceftriaxone sodium, per 250 mg 4.5% 3,916 3,027 $107K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.6% 1,696 1,414 $86K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.2% 4,329 1,930 $78K
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 2.4% 769 633 $57K
99238 Hospital discharge day management, 30 minutes or less 2.1% 1,892 1,513 $51K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1.4% 413 400 $35K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.4% 2,418 2,069 $34K
80 more codes
99205 Prolong outpt/office vis 1.3% 412 $32K
92340 Fitting of spectacles, except for aphakia; monofocal 1.3% 490 $31K
20610 1.3% 938 $31K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.2% 850 $28K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.1% 461 $27K
99215 Doctor's office visit, returning patient (complex) <1% 523 $24K
36415 Collection of venous blood by venipuncture <1% 7,132 $22K
99442 <1% 825 $22K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 272 $19K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,119 $18K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 237 $18K
90792 Psychiatric diagnostic evaluation with medical services <1% 298 $17K
99222 Initial hospital care, per day, moderate complexity <1% 335 $16K
99443 <1% 302 $14K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 1,847 $14K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 6,773 $9K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,254 $9K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 681 $8K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 331 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 119 $7K
99490 Ccm add 20min <1% 1,587 $6K
90686 <1% 382 $5K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 41 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 353 $5K
83036 Hemoglobin; glycosylated (A1C) <1% 633 $4K
73030 <1% 236 $4K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 285 $3K
99219 <1% 55 $3K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 2,226 $3K
99441 <1% 170 $3K
73560 <1% 137 $2K
90674 <1% 83 $2K
99217 <1% 68 $2K
99386 <1% 38 $2K
92341 <1% 27 $2K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 156 $2K
00731 <1% 30 $2K
99218 <1% 54 $2K
73565 <1% 99 $1K
99308 Subsequent nursing facility care, per day, straightforward <1% 305 $1K
73562 <1% 64 $1K
99234 <1% 20 $1K
80305 <1% 171 $1K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 43 $999.89
99307 <1% 254 $808.99
00813 <1% 18 $743.89
90836 <1% 26 $717.40
99239 Hospital discharge day management, more than 30 minutes <1% 21 $669.61
99497 <1% 164 $524.81
97763 <1% 24 $494.51
73630 <1% 29 $462.80
73610 <1% 15 $293.28
00142 <1% 17 $277.11
90662 <1% 51 $226.24
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 114 $213.88
J3490 Unclassified drugs <1% 173 $169.72
99406 <1% 19 $153.27
81002 <1% 153 $97.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 22 $74.16
97760 <1% 13 $36.48
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% 28 $36.34
96127 <1% 12 $30.27
99439 <1% 15 $24.43
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 189 $2.78
3078F <1% 361 $1.05
3074F <1% 205 $0.79
3008F <1% 543 $0.51
3077F <1% 75 $0.24
3079F <1% 39 $0.14
3080F <1% 14 $0.09
1160F <1% 1,281 $0.04
1159F <1% 466 $0.03
3075F <1% 15 $0.02
99024 0% 172 $0.00
G0008 Administration of influenza virus vaccine 0% 115 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 108 $0.00
1036F 0% 84 $0.00
1101F 0% 19 $0.00
99000 0% 21 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 0% 178 $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 officialFEY, LAURA (SR DIRECTOR)
Same official

Other billing entities under FEY, LAURA

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