Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › London › NPI 1073711339
Physician

Alan D Graham

Alan D Graham was paid $947K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 28% of everything it billed.

33Billing provider infoALAN D GRAHAM
LONDON, KY 40741
33aNPI1073711339assigned 07/10/2007
33bProvider typeSurgery Physician
28Total paid$947K
24GClaims15,433
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Surgery Physician providers in Kentucky

Rank by total paid#2 of 34
Median peer was paid$20K
This provider vs. median48×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20182,427$157K
20192,322$165K
20202,680$188K
20212,740$163K
20221,977$97K
20232,184$123K
2024incomplete1,103$54K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 28% 4,603 4,290 $262K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 4,773 4,157 $136K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 14% 1,597 1,365 $135K
45384 14% 1,028 829 $132K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 12% 617 507 $115K
47563 11% 279 235 $106K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5.4% 2,303 2,117 $51K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 218 188 $8K
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 <1% 15 14 $646.40

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 officialGRAHAM, ALAN (MD GENERAL SURGEON)