Commonwealth of Kentucky
Commonwealth of Kentucky was paid $91K by Medicaid between Sep 2019 and Nov 2024, across 12 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 75% of everything it billed.
LOUISVILLE, KY 40215
Next to other Multi-Specialty Clinic/Center providers in Kentucky
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 34 | $2K | |
| 2020 | 216 | $7K | |
| 2021 | 398 | $17K | |
| 2022 | 546 | $23K | |
| 2023 | 384 | $23K | |
| 2024incomplete | 285 | $18K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 75% | 1,323 | 1,119 | $68K |
| D0150 | Comprehensive oral evaluation - new or established patient | 9.0% | 73 | 72 | $8K |
| D1110 | Prophylaxis - adult | 6.7% | 77 | 70 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 53 | 47 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.9% | 36 | 20 | $2K |
| 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 | 1.7% | 30 | 25 | $2K |
| D1206 | Topical application of fluoride varnish | 1.6% | 61 | 56 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 33 | 32 | $643.40 |
| 36415 | Collection of venous blood by venipuncture | <1% | 54 | 43 | $7.50 |
| G0008 | Administration of influenza virus vaccine | 0% | 46 | 41 | $0.00 |
| 90674 | 0% | 51 | 51 | $0.00 | |
| 90636 | 0% | 26 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Emergency Medical Services of Lorain, INC. | Lorain, OH | $6.88M |
| Ultimate Home Care LLC, Dba Oak View Health Services | Idabel, OK | $4.68M |
| Nes Georgia INC | Elizabeth, NJ | $4.66M |
| Nes of Sandusky INC | Logansport, IN | $2.72M |
| Nes Tennessee INC | Montgomery, AL | $1.76M |
| Whitaker National Corporation | Jackson, KY | $1.69M |
| Whitaker National Corporation | Paintsville, KY | $1.62M |
| Emergency Medical Services of Lorain, INC. | Oberlin, OH | $1.58M |
| Commonwealth of Kentucky | Louisville, KY | $1.51M |
| Whitaker National Corporation | Louisa, KY | $1.19M |
| Nes Tennessee INC | Monroeville, AL | $915K |
| Jennifer C Moore MSW LCSW INC | Las Vegas, NV | $620K |
| Nes Kentucky INC | Nashville, AR | $617K |
| Hles of Ohio INC | East Liverpool, OH | $553K |
| Commonwealth of Kentucky | Somerset, KY | $451K |
| Commonwealth of Kentucky | Lexington, KY | $435K |
| Nes Medical Services of New England INC | Bangor, ME | $348K |
| Nes Louisiana INC | Springhill, LA | $257K |
| Hles of Ohio, INC. | Wauseon, OH | $229K |
| Ultimate Home Care LLC, Dba Oak View Helath Services | Idabel, OK | $181K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.