Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KENTUCKY MSO LLC

NPI: 1093051807 · GEORGETOWN, KY 40324 · Internal Medicine Physician · NPI assigned 12/26/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BOWMAN, MONICA controls 20+ related entities in our dataset. Read more

$282K
Total Medicaid Paid
16,866
Total Claims
14,945
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOWMAN, MONICA (VICE PRESIDENT)
NPI Enumeration Date12/26/2012

Related Entities

Other providers sharing the same authorized official: BOWMAN, MONICA

ProviderCityStateTotal Paid
DLP MARQUETTE PHYSICIAN PRACTICES INC MARQUETTE MI $17.80M
CLARK REGIONAL PHYSICIAN PRACTICES, LLC WINCHESTER KY $9.45M
KENTUCKY MSO, LLC GEORGETOWN KY $6.59M
CLARK REGIONAL PHYSICIAN PRACTICES LLC WINCHESTER KY $2.97M
PINELAKE PHYSICIAN PRACTICE, LLC MAYFIELD KY $2.26M
PORTAGE PHYSICIAN PRACTICES INC HANCOCK MI $1.63M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.39M
COLORADO PLAINS PHYSICIAN PRACTICES LLC FORT MORGAN CO $1.28M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.27M
NORTHWEST ALABAMA EMERGENCY MEDICINE LLC FLORENCE AL $1.24M
DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC HENDERSON NC $897K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $847K
PORTAGE PHYSICIAN PRACTICES INC. HOUGHTON MI $763K
DLP CONEMAUGH PHYSICIAN PRACTICES LLC ROARING SPRING PA $761K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $529K
KENTUCKY MSO LLC GEORGETOWN KY $406K
RCCH TRIOS PHYSICIANS LLC KENNEWICK WA $401K
NATIONAL PARK CARDIOLOGY SERVICES, LLC HOT SPRINGS AR $341K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $331K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $266K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,005 $31K
2019 804 $25K
2020 1,446 $43K
2021 1,813 $46K
2022 2,139 $43K
2023 5,750 $52K
2024 3,909 $42K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,925 2,433 $106K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,539 2,259 $100K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 235 225 $19K
93000 1,142 1,030 $18K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,004 1,607 $15K
93016 373 347 $7K
93018 432 405 $7K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 101 93 $5K
99244 Office or other outpatient consultation, moderate to high complexity 29 26 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 93 81 $2K
93227 66 59 $2K
99406 15 15 $125.63
3008F 1,635 1,496 $0.00
3074F 810 765 $0.00
1036F 998 919 $0.00
3079F 629 586 $0.00
1034F 191 174 $0.00
3075F 45 39 $0.00
3080F 21 17 $0.00
1159F 954 869 $0.00
3078F 411 386 $0.00
1160F 954 869 $0.00
3077F 134 122 $0.00
3725F 130 123 $0.00