COGENT HEALTHCARE OF KENTUCKY, PSC

NPI: 1053362293 · LOUISVILLE, KY 40202 · Family Medicine Physician · NPI assigned 05/12/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official FALL, LAURA controls 20+ related entities in our dataset. Read more

$4.39M

Total Medicaid Paid

146,230

Total Claims

70,969

Beneficiaries

Codes Billed

2018-01

First Month

2024-12

Last Month

Provider Details

Authorized Official	FALL, LAURA (MANAGER)
NPI Enumeration Date	05/12/2006

Other providers sharing the same authorized official: FALL, LAURA

Provider	City	State	Total Paid
INPATIENT SPECIALISTS OF CALIFORNIA, PC	SAN BERNARDINO	CA	$32.85M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTHERN CALIFORNIA, P.C.	BAKERSFIELD	CA	$23.48M
T M CARR MD PC	MEMPHIS	TN	$19.29M
SOUTH SOUND INPATIENT PHYSICIANS PLLC	ARLINGTON	WA	$17.61M
HOSPITALIST MEDICINE PHYSICIANS OF CALIFORNIA, INC	SAN JOSE	CA	$16.34M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS, PLLC	HUMBLE	TX	$16.31M
COGENT HEALTHCARE OF ARIZONA PC	BRENTWOOD	TN	$15.26M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTH CAROLINA LLC	AIKEN	SC	$14.15M
SOUND INPATIENT PHYSICIANS-MICHIGAN, PLLC	KALAMAZOO	MI	$12.40M
HOSPITALIST MEDICINE PHYSICIANS OF OHIO, PROFESSIONAL CORPORATION	MIDDLETOWN	OH	$9.72M
HOSPITALIST MEDICINE PHYSICIANS OF MARYLAND-FREDERICK PC	FREDERICK	MD	$6.02M
RABESSLER MD PC	LAS VEGAS	NV	$5.09M
SOUND PHYSICIANS OF ILLINOIS, LLC	CHICAGO	IL	$4.98M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS - HOUSTON, PLLC	BRENTWOOD	TN	$4.68M
COGENT HEALTHCARE OF GEORGIA PC	MACON	GA	$4.65M
HOSPITALIST MEDICINE PHYSICIANS OF NEW YORK, PLLC	BRONX	NY	$4.25M
HOSPITALIST MEDICINE PHYSICIANS OF WEST VIRGINIA, PLLC	WHEELING	WV	$4.10M
HOSPITALIST MEDICINE PHYSICIANS OF NEW MEXICO - CLOVIS, LLC	HOBBS	NM	$4.09M
SOUND PHYSICIANS EMERGENCY MEDICINE OF KANSAS, LLC	TOPEKA	KS	$3.37M
COGENT HEALTHCARE OF NORTH CAROLINA, PC	HIGH POINT	NC	$3.34M

Code	Description	Claims	Beneficiaries	Total Paid
99233	Prolong inpt eval add15 m	47,896	18,617	$1.43M
99232	Subsequent hospital care, per day, moderate complexity	56,965	19,818	$1.09M
99223	Prolong inpt eval add15 m	17,163	13,724	$1.02M
99239	Hospital discharge day management, more than 30 minutes	15,231	12,400	$550K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	1,429	883	$122K
99220		1,438	1,053	$68K
99238	Hospital discharge day management, 30 minutes or less	2,416	1,817	$53K
99222	Initial hospital care, per day, moderate complexity	736	598	$33K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	340	280	$14K
99217		430	283	$5K
99225		60	38	$1K
99219		33	25	$926.50
99231	Subsequent hospital care, per day, straightforward or low complexity	53	27	$758.55
99497		36	33	$492.65
93016		15	14	$296.38
99406		58	39	$139.51
99484		264	231	$136.00
99309	Subsequent nursing facility care, per day, low to moderate complexity	875	491	$133.89
99490	Ccm add 20min	543	393	$49.88
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	93	88	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	15	13	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	26	$0.00
99308	Subsequent nursing facility care, per day, straightforward	100	66	$0.00
1123F		12	12	$0.00