Neurological Specialists PSC

Neurological Specialists PSC was paid $284K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.

33Billing provider infoNEUROLOGICAL SPECIALISTS PSC
ELIZABETHTOWN, KY 42701

33aNPI1073629119assigned 08/22/2006

33bProvider typeNeurology Physician

28Total paid$284K

24GClaims6,145

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Neurology Physician providers in Kentucky

Rank by total paid#10 of 24

Median peer was paid$68K

This provider vs. median4.2×

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	846	$33K
2019	1,096	$53K
2020	858	$44K
2021	995	$40K
2022	740	$36K
2023	929	$46K
2024incomplete	681	$32K

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	36%	2,060	1,891	$102K
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%	1,763	1,637	$55K
95819		17%	1,378	1,218	$48K
99205	Prolong outpt/office vis	15%	367	343	$42K
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	6.8%	220	207	$19K
99223	Prolong inpt eval add15 m	2.7%	130	119	$8K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.4%	104	93	$7K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	48	24	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	12	12	$605.70
99423		<1%	15	15	$405.77
99421		<1%	48	40	$306.91

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 officialGARCIA, LOVEGILDO (PRESIDENT OWNER)