Behavioral
Kentuckyone Health Medical Group, INC.
Kentuckyone Health Medical Group, INC. was paid $38.76M by Medicaid between Jan 2018 and Dec 2024, across 274 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoKENTUCKYONE HEALTH MEDICAL GROUP, INC.
LEXINGTON, KY 40504
LEXINGTON, KY 40504
33aNPI1104875970assigned 05/09/2006
33bProvider typeMental Health Counselor
28Total paid$38.76M
24GClaims1,207,483
24DCodes billed274
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in Kentucky
Rank by total paid#3 of 204
Median peer was paid$135K
This provider vs. median287×
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 | 293,964 | $8.36M | |
| 2019 | 185,663 | $5.36M | |
| 2020 | 152,262 | $4.91M | |
| 2021 | 183,007 | $5.90M | |
| 2022 | 140,115 | $4.92M | |
| 2023 | 144,339 | $5.18M | |
| 2024incomplete | 108,133 | $4.14M |
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 | 24% | 242,279 | 206,827 | $9.38M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 262,930 | 219,656 | $7.41M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 5.8% | 28,359 | 8,556 | $2.26M |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.1% | 35,964 | 31,523 | $1.58M |
| 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 | 3.3% | 18,492 | 16,228 | $1.26M |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 3.1% | 2,282 | 1,304 | $1.22M |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.1% | 175,094 | 134,119 | $1.19M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.8% | 22,040 | 19,756 | $1.10M |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.3% | 8,034 | 7,408 | $878K |
| 76819 | Fetal biophysical profile; without non-stress testing | 2.0% | 14,037 | 6,889 | $756K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.7% | 23,085 | 9,654 | $677K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.7% | 10,323 | 7,915 | $649K |
262 more codes
| 99232 | Hospital visit by a doctor, follow-up day | 1.5% | 25,274 | $581K |
| 93000 | 1.5% | 49,559 | $574K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.5% | 6,267 | $563K |
| 20610 | 1.3% | 16,958 | $490K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 6,521 | $467K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.1% | 4,180 | $446K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 11,241 | $436K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.0% | 7,002 | $405K |
| 95720 | <1% | 3,304 | $352K | |
| 76820 | <1% | 6,267 | $304K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 1,297 | $255K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 320 | $224K |
| 87428 | <1% | 5,759 | $215K | |
| 90461 | <1% | 6,525 | $213K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 3,694 | $204K |
| 99292 | <1% | 4,044 | $197K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,999 | $193K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 3,093 | $193K |
| 95951 | <1% | 1,784 | $175K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 10,631 | $144K |
| 64615 | <1% | 1,989 | $140K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 3,756 | $140K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 2,349 | $131K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 1,298 | $122K |
| 95886 | <1% | 1,448 | $118K | |
| 99223 | Prolong inpt eval add15 m | <1% | 1,851 | $117K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,927 | $109K |
| 76813 | <1% | 1,301 | $100K | |
| 99442 | <1% | 3,709 | $99K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 10,526 | $94K |
| 95718 | <1% | 1,260 | $92K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,522 | $90K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,139 | $80K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 4,022 | $76K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 6,568 | $73K |
| 76830 | Ultrasound, transvaginal | <1% | 1,150 | $73K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,623 | $70K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 5,737 | $69K |
| 93018 | <1% | 5,414 | $68K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 424 | $67K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 972 | $67K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 848 | $63K |
| 76801 | <1% | 1,002 | $55K | |
| 99254 | <1% | 517 | $51K | |
| 90670 | <1% | 4,003 | $51K | |
| 93015 | <1% | 971 | $49K | |
| 95911 | <1% | 426 | $49K | |
| 73560 | <1% | 3,573 | $45K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 581 | $45K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 7,203 | $44K |
| 43775 | <1% | 83 | $43K | |
| 99221 | <1% | 1,064 | $40K | |
| 90686 | <1% | 4,313 | $38K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 257 | $38K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,897 | $38K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,238 | $36K |
| 20611 | <1% | 726 | $34K | |
| 93016 | <1% | 2,204 | $34K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 830 | $33K |
| 99205 | Prolong outpt/office vis | <1% | 392 | $33K |
| 99243 | <1% | 431 | $31K | |
| 93458 | <1% | 213 | $30K | |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 255 | $28K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 4,936 | $27K |
| 99255 | <1% | 218 | $26K | |
| 94060 | <1% | 2,018 | $25K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,725 | $25K |
| 99218 | <1% | 544 | $20K | |
| 43235 | <1% | 290 | $19K | |
| 81025 | <1% | 3,312 | $19K | |
| 99245 | <1% | 116 | $18K | |
| 99217 | <1% | 456 | $18K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 476 | $18K |
| 76942 | <1% | 305 | $17K | |
| 90674 | <1% | 908 | $16K | |
| 73030 | <1% | 997 | $16K | |
| 01810 | <1% | 180 | $15K | |
| 43999 | <1% | 661 | $15K | |
| 93793 | <1% | 3,756 | $14K | |
| 99443 | <1% | 396 | $14K | |
| 93356 | <1% | 2,088 | $14K | |
| 29405 | <1% | 386 | $14K | |
| 72110 | <1% | 616 | $14K | |
| 94726 | <1% | 1,982 | $14K | |
| 00731 | <1% | 166 | $13K | |
| 93296 | <1% | 1,052 | $12K | |
| 99441 | <1% | 972 | $11K | |
| 90633 | <1% | 2,306 | $11K | |
| 43281 | <1% | 26 | $11K | |
| 95819 | <1% | 101 | $11K | |
| 95117 | <1% | 893 | $11K | |
| 81003 | <1% | 10,168 | $11K | |
| 59514 | <1% | 15 | $10K | |
| 93227 | <1% | 390 | $10K | |
| 94729 | <1% | 2,145 | $9K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,565 | $9K |
| 36246 | <1% | 26 | $9K | |
| 99224 | <1% | 473 | $9K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 489 | $8K |
| 76882 | <1% | 444 | $8K | |
| 72100 | <1% | 491 | $8K | |
| 81002 | <1% | 2,478 | $8K | |
| 99152 | <1% | 959 | $8K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 81 | $8K |
| 95910 | <1% | 86 | $8K | |
| 47562 | <1% | 16 | $7K | |
| 90632 | <1% | 170 | $7K | |
| 64721 | <1% | 27 | $7K | |
| 20550 | <1% | 288 | $7K | |
| 73564 | <1% | 325 | $7K | |
| 51798 | <1% | 1,183 | $7K | |
| 93280 | <1% | 506 | $7K | |
| 94010 | <1% | 813 | $7K | |
| 29075 | <1% | 277 | $7K | |
| 99460 | <1% | 161 | $7K | |
| 85610 | <1% | 2,986 | $7K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 86 | $6K |
| 90680 | <1% | 623 | $6K | |
| 93297 | <1% | 470 | $6K | |
| 96150 | <1% | 276 | $5K | |
| 90723 | <1% | 746 | $5K | |
| 43770 | <1% | 26 | $5K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 278 | $5K |
| 99253 | <1% | 65 | $5K | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 489 | $5K |
| 73630 | <1% | 670 | $5K | |
| 90648 | <1% | 1,459 | $4K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 1,176 | $4K |
| 95970 | <1% | 490 | $4K | |
| 73610 | <1% | 506 | $4K | |
| 73100 | <1% | 304 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 56 | $4K |
| 99220 | <1% | 55 | $4K | |
| 90698 | <1% | 1,297 | $4K | |
| 99219 | <1% | 89 | $4K | |
| 90682 | <1% | 76 | $4K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,040 | $4K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 27 | $4K |
| 93284 | <1% | 149 | $4K | |
| 92511 | <1% | 96 | $4K | |
| 93295 | <1% | 176 | $4K | |
| 43249 | <1% | 33 | $3K | |
| 43274 | <1% | 19 | $3K | |
| 90681 | <1% | 573 | $3K | |
| 92567 | <1% | 243 | $3K | |
| 90756 | <1% | 212 | $3K | |
| 11043 | <1% | 52 | $3K | |
| 99242 | <1% | 44 | $3K | |
| 95909 | <1% | 26 | $3K | |
| 54150 | <1% | 43 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 88 | $2K |
| 73110 | <1% | 173 | $2K | |
| 90715 | <1% | 81 | $2K | |
| 99406 | <1% | 386 | $2K | |
| 95913 | <1% | 17 | $2K | |
| 93970 | <1% | 149 | $2K | |
| 72050 | <1% | 98 | $2K | |
| 90688 | <1% | 568 | $2K | |
| 93298 | <1% | 77 | $2K | |
| 93294 | <1% | 168 | $2K | |
| 93923 | <1% | 43 | $2K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 168 | $2K |
| 84439 | <1% | 170 | $2K | |
| 95816 | <1% | 13 | $2K | |
| 95251 | <1% | 138 | $2K | |
| 93299 | <1% | 110 | $2K | |
| 80053 | Comprehensive metabolic panel | <1% | 189 | $2K |
| 90734 | <1% | 43 | $1K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 428 | $1K |
| 93880 | <1% | 50 | $1K | |
| 01830 | <1% | 15 | $1K | |
| 93272 | <1% | 75 | $1K | |
| 92557 | <1% | 61 | $1K | |
| 59025 | Fetal non-stress test | <1% | 56 | $1K |
| 87807 | <1% | 138 | $1K | |
| 93922 | <1% | 86 | $1K | |
| 99381 | <1% | 32 | $1K | |
| 73130 | <1% | 74 | $1K | |
| 73565 | <1% | 73 | $1K | |
| 31575 | <1% | 25 | $1K | |
| 52000 | <1% | 29 | $1K | |
| 73562 | <1% | 60 | $1K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 49 | $1K |
| 90677 | <1% | 295 | $1K | |
| 20526 | <1% | 29 | $1K | |
| 90687 | <1% | 292 | $1K | |
| 73120 | <1% | 62 | $1K | |
| 82962 | <1% | 582 | $1K | |
| 93283 | <1% | 20 | $945.38 | |
| 90685 | <1% | 382 | $933.16 | |
| 93244 | <1% | 71 | $915.93 | |
| 90653 | <1% | 47 | $810.47 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 217 | $807.20 |
| 99459 | <1% | 65 | $788.17 | |
| 76827 | <1% | 14 | $779.93 | |
| 20553 | <1% | 43 | $777.56 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 69 | $755.97 |
| 11721 | <1% | 71 | $724.84 | |
| 98960 | <1% | 41 | $676.07 | |
| 75716 | <1% | 15 | $669.13 | |
| 12032 | <1% | 17 | $628.93 | |
| 72040 | <1% | 26 | $558.92 | |
| 92579 | <1% | 30 | $542.38 | |
| 90661 | <1% | 160 | $536.10 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 108 | $523.26 |
| 76998 | <1% | 13 | $502.36 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 336 | $457.63 |
| 82947 | <1% | 148 | $435.00 | |
| 46600 | <1% | 14 | $421.11 | |
| 95885 | <1% | 15 | $407.42 | |
| 36569 | <1% | 15 | $400.33 | |
| 75774 | <1% | 26 | $344.80 | |
| 99307 | <1% | 44 | $332.78 | |
| 94727 | <1% | 39 | $307.29 | |
| 96127 | <1% | 86 | $302.55 | |
| 93320 | <1% | 13 | $300.21 | |
| 99407 | <1% | 17 | $294.82 | |
| 90744 | <1% | 415 | $281.00 | |
| 93242 | <1% | 43 | $272.08 | |
| 99225 | <1% | 15 | $268.38 | |
| 90671 | <1% | 168 | $246.20 | |
| 95977 | <1% | 14 | $239.28 | |
| 93325 | <1% | 45 | $233.86 | |
| 73600 | <1% | 20 | $216.82 | |
| 90647 | <1% | 61 | $206.81 | |
| 82607 | <1% | 12 | $200.99 | |
| 90710 | <1% | 116 | $199.19 | |
| 82746 | <1% | 12 | $196.00 | |
| 93248 | <1% | 14 | $190.58 | |
| 90656 | <1% | 13 | $188.96 | |
| 73501 | <1% | 19 | $184.36 | |
| 93225 | <1% | 15 | $177.01 | |
| 87210 | <1% | 38 | $175.65 | |
| 95874 | <1% | 19 | $174.80 | |
| 69210 | <1% | 18 | $173.83 | |
| 80305 | <1% | 16 | $165.75 | |
| 80061 | Lipid panel | <1% | 13 | $156.84 |
| 73020 | <1% | 17 | $156.03 | |
| 73620 | <1% | 18 | $153.34 | |
| 90700 | <1% | 27 | $148.80 | |
| 82043 | <1% | 33 | $121.32 | |
| 92555 | <1% | 12 | $119.17 | |
| 90662 | <1% | 102 | $89.10 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 48 | $80.23 |
| 82570 | <1% | 15 | $77.29 | |
| G0008 | Administration of influenza virus vaccine | <1% | 282 | $68.04 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 15 | $64.64 |
| 82044 | <1% | 16 | $56.48 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 55 | $29.18 |
| 85018 | <1% | 13 | $26.37 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 39 | $16.03 |
| 2014F | 0% | 75 | $0.00 | |
| 0502F | 0% | 60 | $0.00 | |
| 90707 | 0% | 26 | $0.00 | |
| 99024 | 0% | 4,630 | $0.00 | |
| 90694 | 0% | 15 | $0.00 | |
| S2900 | Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) | 0% | 14 | $0.00 |
| 90651 | 0% | 15 | $0.00 | |
| 4255F | 0% | 16 | $0.00 | |
| 3044F | 0% | 79 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 80 | $0.00 |
| 3008F | 0% | 279 | $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.
From NPPES
Who's on the registration
Authorized officialJONES, CARMEL (COO)
| Provider | Location | Paid |
|---|---|---|
| Kentuckyone Health Medical Group, INC. | Lexington, KY | $936K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.