Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Pikeville › NPI 1104854207
Physician

Lowe, Charles

Lowe, Charles was paid $1.92M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 38% of everything it billed.

33Billing provider infoLOWE, CHARLES
PIKEVILLE, KY 41501
33aNPI1104854207assigned 06/28/2006
28Total paid$1.92M
24GClaims47,413
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Allergy & Immunology Physician providers in Kentucky

Rank by total paid#2 of 25
Median peer was paid$13K
This provider vs. median145×

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
20189,276$275K
20197,942$265K
20207,181$276K
20216,501$271K
20226,027$302K
20235,756$293K
2024incomplete4,730$241K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 38% 5,262 5,135 $728K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 20% 2,786 2,464 $386K
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% 6,944 6,378 $273K
95117 13% 19,648 9,979 $249K
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 6.6% 2,013 1,961 $127K
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 3.8% 716 674 $72K
94010 2.5% 2,069 2,013 $48K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.7% 528 437 $33K
A4617 Mouth piece <1% 5,819 3,403 $4K
94664 <1% 651 554 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 27 27 $457.67
G9810 Patient achieved a pdc of at least 75% for their asthma controller medication 0% 141 139 $0.00
4 more codes
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 283 $0.00
G9521 Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months 0% 143 $0.00
1036F 0% 241 $0.00
G9432 Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented 0% 142 $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.