Cogent Healthcare of Kentucky, PSC
Cogent Healthcare of Kentucky, PSC was paid $4.39M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 33% of everything it billed.
LOUISVILLE, KY 40202
Next to other Family Medicine Physician providers in Kentucky
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,360 | $213K | |
| 2019 | 16,633 | $524K | |
| 2020 | 22,420 | $702K | |
| 2021 | 29,819 | $803K | |
| 2022 | 17,972 | $588K | |
| 2023 | 31,182 | $897K | |
| 2024incomplete | 19,844 | $666K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 33% | 47,896 | 18,617 | $1.43M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 25% | 56,965 | 19,818 | $1.09M |
| 99223 | Prolong inpt eval add15 m | 23% | 17,163 | 13,724 | $1.02M |
| 99239 | Hospital discharge day management, more than 30 minutes | 13% | 15,231 | 12,400 | $550K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.8% | 1,429 | 883 | $122K |
| 99220 | 1.6% | 1,438 | 1,053 | $68K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.2% | 2,416 | 1,817 | $53K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 736 | 598 | $33K |
| 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 | <1% | 340 | 280 | $14K |
| 99217 | <1% | 430 | 283 | $5K | |
| 99225 | <1% | 60 | 38 | $1K | |
| 99219 | <1% | 33 | 25 | $926.50 |
12 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 53 | $758.55 |
| 99497 | <1% | 36 | $492.65 | |
| 93016 | <1% | 15 | $296.38 | |
| 99406 | <1% | 58 | $139.51 | |
| 99484 | <1% | 264 | $136.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 875 | $133.89 |
| 99490 | Ccm add 20min | <1% | 543 | $49.88 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 93 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 15 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 29 | $0.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 100 | $0.00 |
| 1123F | 0% | 12 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.