Johnstone, John

Johnstone, John was paid $23K by Medicaid between Jan 2018 and Apr 2020, across 32 billing codes. Its largest line is 99490, Ccm add 20min — 31% of everything it billed.

33Billing provider infoJOHNSTONE, JOHN
RICHMOND, KY 40475

33aNPI1104826080assigned 07/21/2005

33bProvider typeCardiovascular Disease Physician

28Total paid$23K

24GClaims7,914

24DCodes billed32

24AFirst – last monthJan 2018 – Apr 2020

Compared with peers

Next to other Cardiovascular Disease Physician providers in Kentucky

Rank by total paid#24 of 47

Median peer was paid$23K

This provider vs. median1.0×

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	3,510	$10K
2019	4,036	$12K
2020	368	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99490	Ccm add 20min	31%	1,140	752	$7K
93000		22%	580	400	$5K
83880		13%	258	173	$3K
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	12%	108	80	$3K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	11%	113	70	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.4%	96	70	$2K
83036	Hemoglobin; glycosylated (A1C)	1.5%	129	82	$338.45
96127		<1%	139	110	$230.02
90756		<1%	26	14	$87.29
80061	Lipid panel	<1%	20	14	$83.25
36415	Collection of venous blood by venipuncture	<1%	13	12	$44.89
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	850	542	$0.24

20 more codes

G8482	Influenza immunization administered or previously received	0%	475	$0.00
G8753	Most recent systolic blood pressure >= 140 mmhg	0%	17	$0.00
G9368	At least two orders for high-risk medications from the same drug class not ordered	0%	64	$0.00
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	0%	171	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	351	$0.00
G9744	Patient not eligible due to active diagnosis of hypertension	0%	395	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	449	$0.00
4004F		0%	26	$0.00
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	0%	55	$0.00
3117F		0%	23	$0.00
1036F		0%	580	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	608	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	648	$0.00
G8734	Elder maltreatment screen documented as negative, follow-up is not required	0%	35	$0.00
4086F		0%	132	$0.00
G9366	One high-risk medication not ordered	0%	301	$0.00
0513F		0%	36	$0.00
G9906	Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)	0%	26	$0.00
G0008	Administration of influenza virus vaccine	0%	24	$0.00
G9902	Patient screened for tobacco use and identified as a tobacco user	0%	26	$0.00

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.