Kentucky Orthopaedics & Spine PLLC
Kentucky Orthopaedics & Spine PLLC was paid $4.63M by Medicaid between Jun 2019 and Dec 2024, across 50 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoKENTUCKY ORTHOPAEDICS & SPINE PLLC
WINCHESTER, KY 40391
WINCHESTER, KY 40391
33aNPI1083185938assigned 12/17/2018
33bProvider typeFoot & Ankle Surgery Podiatrist
28Total paid$4.63M
24GClaims137,211
24DCodes billed50
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other Foot & Ankle Surgery Podiatrist providers in Kentucky
Rank by total paid#1 of 30
Median peer was paid$43K
This provider vs. median109×
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 | |
|---|---|---|---|
| 2019 | 13,423 | $343K | |
| 2020 | 26,563 | $857K | |
| 2021 | 28,339 | $943K | |
| 2022 | 24,714 | $823K | |
| 2023 | 24,223 | $848K | |
| 2024incomplete | 19,949 | $819K |
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 | 23% | 28,689 | 25,660 | $1.06M |
| 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 | 20% | 14,174 | 12,888 | $943K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 36,835 | 32,067 | $815K |
| 20610 | 9.3% | 15,755 | 12,756 | $430K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 5.0% | 769 | 714 | $231K |
| 62323 | 4.4% | 1,526 | 1,401 | $204K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 1,979 | 1,750 | $107K |
| 64493 | 1.9% | 717 | 631 | $89K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 1.7% | 266 | 256 | $77K |
| 72100 | 1.4% | 3,957 | 3,578 | $64K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 1.0% | 5,485 | 4,894 | $47K |
| 73560 | <1% | 3,860 | 2,993 | $46K |
38 more codes
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 5,423 | $46K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 6,915 | $46K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 796 | $44K |
| 64494 | <1% | 721 | $43K | |
| 72141 | <1% | 133 | $41K | |
| 64635 | <1% | 152 | $40K | |
| 64495 | <1% | 681 | $34K | |
| 64636 | <1% | 153 | $30K | |
| 73630 | <1% | 1,692 | $26K | |
| 73221 | <1% | 80 | $22K | |
| J3304 | Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | <1% | 36 | $19K |
| 72040 | <1% | 1,044 | $16K | |
| 73610 | <1% | 969 | $15K | |
| 62321 | <1% | 100 | $13K | |
| 29580 | <1% | 394 | $11K | |
| 73110 | <1% | 665 | $10K | |
| 64721 | <1% | 44 | $9K | |
| 80305 | <1% | 1,183 | $9K | |
| 72158 | <1% | 12 | $8K | |
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | <1% | 113 | $7K |
| 73130 | <1% | 239 | $4K | |
| 22853 | <1% | 41 | $3K | |
| 64445 | <1% | 83 | $3K | |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | <1% | 23 | $3K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 242 | $3K |
| 77002 | <1% | 88 | $2K | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 375 | $2K |
| 73020 | <1% | 192 | $2K | |
| 73564 | <1% | 116 | $2K | |
| 72114 | <1% | 60 | $2K | |
| 99442 | <1% | 44 | $2K | |
| 73502 | <1% | 112 | $2K | |
| 73030 | <1% | 105 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 52 | $1K |
| 99441 | <1% | 41 | $1K | |
| 73620 | <1% | 16 | $296.18 | |
| 99406 | <1% | 35 | $241.88 | |
| 29540 | <1% | 29 | $164.27 |
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 officialGRAU, GREGORY (SR PARTNER)