Kentucky One Health Medical Group, INC.
Kentucky One Health Medical Group, INC. was paid $100K by Medicaid between Jan 2018 and Dec 2019, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
IRVINE, KY 40336
Next to other Rural Health Clinic/Center 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 | 1,583 | $52K | |
| 2019 | 1,367 | $49K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 56% | 1,700 | 1,420 | $56K |
| 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 | 41% | 920 | 789 | $41K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 62 | 61 | $841.74 |
| 90756 | <1% | 35 | 35 | $629.87 | |
| 90674 | <1% | 25 | 24 | $613.29 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 194 | 178 | $580.97 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14 | 14 | $158.64 |
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
| Provider | Location | Paid |
|---|---|---|
| Saint Joseph Health System, INC. | London, KY | $6.92M |
| Saint Joseph Health System INC | London, KY | $998K |
| Saint Joseph Health Asc LLC | Lexington, KY | $905K |
| Saint Joseph Health System INC. | Berea, KY | $759K |
| Saint Joseph Health System, INC. | London, KY | $492K |
| Saint Joseph Health System, INC. | London, KY | $474K |
| Flaget Healthcare INC | Bardstown, KY | $474K |
| Saint Joseph Health System, INC. | Lexington, KY | $456K |
| Flaget Healthcare, INC | Bardstown, KY | $399K |
| Saint Joseph Health System, INC | London, KY | $355K |
| Flaget Healthcare INC | Bardstown, KY | $202K |
| Saint Joseph Health System, INC | Somerset, KY | $77K |
| Saint Joseph Health System INC | Lexington, KY | $75K |
| Flaget Healthcare INC | Willisburg, KY | $61K |
| Saint Joseph Health System, INC. | Corbin, KY | $50K |
| Flaget Healthcare INC | New Haven, KY | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.