NP / PA
Bardstown Primary Care, PLLC
Bardstown Primary Care, PLLC was paid $11.73M by Medicaid between Jan 2018 and Dec 2024, across 113 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoBARDSTOWN PRIMARY CARE, PLLC
BARDSTOWN, KY 40004
BARDSTOWN, KY 40004
33aNPI1053305524assigned 09/09/2005
33bProvider typePsychiatric/Mental Health Nurse Practitioner
28Total paid$11.73M
24GClaims460,564
24DCodes billed113
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychiatric/Mental Health Nurse Practitioner providers in Kentucky
Rank by total paid#2 of 122
Median peer was paid$37K
This provider vs. median314×
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 | 70,522 | $1.81M | |
| 2019 | 62,820 | $1.57M | |
| 2020 | 47,739 | $1.11M | |
| 2021 | 59,492 | $1.45M | |
| 2022 | 69,337 | $1.76M | |
| 2023 | 75,576 | $2.00M | |
| 2024incomplete | 75,078 | $2.04M |
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 | 29% | 60,549 | 55,770 | $3.34M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 66,838 | 61,615 | $2.34M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.6% | 15,199 | 14,220 | $422K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.4% | 27,531 | 26,103 | $400K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.3% | 5,895 | 5,642 | $391K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.5% | 15,768 | 9,874 | $299K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.5% | 4,261 | 2,221 | $295K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 4,464 | 4,340 | $292K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 4,879 | 4,548 | $291K |
| 87428 | 2.4% | 6,140 | 5,884 | $277K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.0% | 6,271 | 5,972 | $240K |
| D1110 | Prophylaxis - adult | 1.8% | 4,464 | 4,107 | $210K |
101 more codes
| 99173 | 1.6% | 3,627 | $184K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 2,460 | $181K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.5% | 1,921 | $176K |
| 90461 | 1.4% | 5,555 | $159K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 5,213 | $155K |
| D0330 | Panoramic radiographic image | 1.2% | 3,309 | $140K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 3,787 | $135K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.1% | 2,329 | $131K |
| 99490 | Ccm add 20min | 1.0% | 2,483 | $122K |
| 90834 | Psychotherapy session, about 45 minutes | 1.0% | 2,480 | $121K |
| D1120 | Dental cleaning, child | 1.0% | 2,367 | $120K |
| D0274 | Bitewings - four radiographic images | <1% | 4,545 | $117K |
| 99408 | <1% | 3,100 | $113K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,448 | $106K |
| D0120 | Dental checkup, returning patient | <1% | 4,058 | $103K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,856 | $59K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,172 | $54K |
| D1206 | Topical application of fluoride varnish | <1% | 3,634 | $54K |
| 94760 | <1% | 38,934 | $46K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 5,260 | $45K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,041 | $40K |
| 81003 | <1% | 23,688 | $40K | |
| 92552 | <1% | 3,915 | $40K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 982 | $38K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,238 | $37K |
| 90633 | <1% | 2,581 | $36K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,173 | $30K |
| 96127 | <1% | 8,639 | $27K | |
| D4341 | <1% | 326 | $25K | |
| 90686 | <1% | 4,618 | $24K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 219 | $18K |
| 99177 | <1% | 6,135 | $18K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,892 | $17K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 247 | $16K |
| 99484 | <1% | 448 | $15K | |
| 87807 | <1% | 1,330 | $15K | |
| 96160 | <1% | 4,805 | $13K | |
| 36416 | <1% | 11,440 | $13K | |
| 90670 | <1% | 1,408 | $11K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 269 | $10K |
| 90698 | <1% | 1,783 | $10K | |
| 96161 | <1% | 2,452 | $7K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,007 | $7K |
| D0272 | Bitewings - two radiographic images | <1% | 353 | $6K |
| 85018 | <1% | 2,738 | $6K | |
| D2335 | <1% | 82 | $6K | |
| 99439 | <1% | 259 | $6K | |
| 92551 | <1% | 568 | $6K | |
| 0001A | <1% | 173 | $5K | |
| D2331 | <1% | 104 | $5K | |
| 90671 | <1% | 297 | $4K | |
| 90473 | <1% | 281 | $4K | |
| 99051 | <1% | 9,959 | $4K | |
| 0002A | <1% | 99 | $4K | |
| 90677 | <1% | 26 | $3K | |
| 95117 | <1% | 241 | $3K | |
| 90887 | <1% | 72 | $3K | |
| 80305 | <1% | 267 | $3K | |
| 90680 | <1% | 493 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 53 | $3K |
| 0071A | <1% | 96 | $2K | |
| D2332 | <1% | 31 | $2K | |
| 99487 | Ccm add 20min | <1% | 25 | $2K |
| 90734 | <1% | 183 | $2K | |
| 86308 | <1% | 378 | $2K | |
| 0072A | <1% | 46 | $2K | |
| 90651 | <1% | 109 | $2K | |
| 80061 | Lipid panel | <1% | 99 | $1K |
| 83655 | <1% | 84 | $1K | |
| 90744 | <1% | 149 | $1K | |
| D2330 | <1% | 21 | $963.60 | |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 29 | $895.78 |
| 81025 | <1% | 103 | $815.80 | |
| 91300 | <1% | 403 | $742.51 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 55 | $702.70 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 63 | $660.21 |
| 99460 | <1% | 14 | $643.86 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 51 | $518.82 |
| 90710 | <1% | 58 | $515.20 | |
| 99188 | <1% | 40 | $480.00 | |
| 90672 | <1% | 388 | $475.35 | |
| 90785 | <1% | 56 | $419.68 | |
| 99441 | <1% | 22 | $380.12 | |
| 69210 | <1% | 16 | $368.25 | |
| 82947 | <1% | 98 | $343.60 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 25 | $340.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $254.70 |
| 90656 | <1% | 233 | $247.10 | |
| D0270 | <1% | 17 | $168.93 | |
| 2014F | <1% | 6,948 | $109.53 | |
| 82962 | <1% | 24 | $69.41 | |
| 90688 | <1% | 224 | $68.76 | |
| 3008F | <1% | 20,420 | $62.36 | |
| 99000 | <1% | 164 | $20.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 49 | $3.14 |
| 91307 | <1% | 235 | $0.02 | |
| D9986 | 0% | 3,751 | $0.00 | |
| 888888 | 0% | 560 | $0.00 | |
| 99072 | 0% | 722 | $0.00 | |
| 90660 | 0% | 36 | $0.00 | |
| 90619 | 0% | 26 | $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 officialNALLEY, MARY (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Bardstown Primary Care, PLLC | Springfield, KY | $635K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.