Physician
Bluegrass Newborn Specialists, PLC
Bluegrass Newborn Specialists, PLC was paid $617K by Medicaid between Jan 2018 and Jun 2024, across 8 billing codes. Its largest line is 99238, Hospital discharge day management, 30 minutes or less — 33% of everything it billed.
33Billing provider infoBLUEGRASS NEWBORN SPECIALISTS, PLC
LEXINGTON, KY 40509
LEXINGTON, KY 40509
33aNPI1073619128assigned 09/16/2006
33bProvider typeNeonatal-Perinatal Medicine Physician
28Total paid$617K
24GClaims11,251
24DCodes billed8
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Neonatal-Perinatal Medicine Physician providers in Kentucky
Rank by total paid#2 of 6
Median peer was paid$20K
This provider vs. median31×
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 | 2,177 | $123K | |
| 2019 | 2,132 | $105K | |
| 2020 | 2,152 | $125K | |
| 2021 | 1,472 | $92K | |
| 2022 | 1,452 | $94K | |
| 2023 | 1,342 | $56K | |
| 2024incomplete | 524 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99238 | Hospital discharge day management, 30 minutes or less | 33% | 4,205 | 4,066 | $205K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 24% | 534 | 166 | $149K |
| 99460 | 22% | 3,229 | 3,153 | $137K | |
| 99462 | 9.0% | 2,416 | 1,935 | $55K | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 6.6% | 445 | 127 | $40K |
| 99464 | 3.2% | 368 | 357 | $19K | |
| 99468 | 1.2% | 13 | 12 | $8K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 41 | 14 | $4K |
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 officialJUNDI, KHALDON (OWNER)