Physician
OIG excluded
Barnes, Cheryl
Barnes, Cheryl was paid $181K by Medicaid between Jan 2018 and Oct 2022, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.
33Billing provider infoBARNES, CHERYL
LOUISVILLE, KY 40220
LOUISVILLE, KY 40220
33aNPI1114911773assigned 09/09/2005
33bProvider typeGeneral Practice Physician
28Total paid$181K
24GClaims3,489
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other General Practice Physician providers in Kentucky
Rank by total paid#9 of 25
Median peer was paid$50K
This provider vs. median3.6×
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.
OIG exclusionListed on the federal exclusion list (03/20/2025).
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 | 1,652 | $80K | |
| 2019 | 779 | $42K | |
| 2020 | 573 | $35K | |
| 2021 | 348 | $16K | |
| 2022 | 137 | $8K |
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 | 79% | 2,601 | 2,016 | $144K |
| 99409 | 16% | 627 | 523 | $29K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 144 | 110 | $5K |
| 99408 | <1% | 32 | 31 | $1K | |
| 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% | 14 | 14 | $1K |
| 90688 | <1% | 28 | 24 | $399.90 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 24 | 22 | $328.68 |
| 90656 | <1% | 19 | 15 | $75.20 |
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.