Physician
Bellefonte Medical Center INC
Bellefonte Medical Center INC was paid $2.03M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoBELLEFONTE MEDICAL CENTER INC
GREENUP, KY 41144
GREENUP, KY 41144
33aNPI1124003488assigned 12/09/2005
33bProvider typeInternal Medicine Physician
28Total paid$2.03M
24GClaims55,428
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Kentucky
Rank by total paid#18 of 231
Median peer was paid$77K
This provider vs. median26×
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 | 7,109 | $350K | |
| 2019 | 10,377 | $528K | |
| 2020 | 9,148 | $261K | |
| 2021 | 7,420 | $189K | |
| 2022 | 8,865 | $244K | |
| 2023 | 7,564 | $247K | |
| 2024incomplete | 4,945 | $206K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 21,708 | 18,513 | $731K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 10% | 566 | 523 | $205K |
| 95909 | 9.3% | 2,203 | 1,886 | $188K | |
| L0650 | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf | 6.6% | 282 | 235 | $134K |
| 93922 | 5.3% | 2,064 | 1,744 | $107K | |
| 80305 | 4.9% | 11,917 | 11,065 | $100K | |
| 95923 | 4.3% | 1,251 | 1,156 | $88K | |
| 95926 | 2.2% | 1,237 | 1,071 | $45K | |
| 95925 | 2.2% | 1,107 | 997 | $44K | |
| 95943 | 2.0% | 405 | 384 | $41K | |
| 95816 | 2.0% | 443 | 333 | $40K | |
| 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 | 1.4% | 345 | 302 | $28K |
40 more codes
| 92587 | 1.4% | 913 | $28K | |
| 95924 | 1.2% | 293 | $25K | |
| 95957 | 1.2% | 401 | $25K | |
| 96132 | 1.1% | 444 | $23K | |
| 99441 | 1.1% | 952 | $22K | |
| 99443 | <1% | 2,575 | $20K | |
| 95999 | <1% | 356 | $20K | |
| 76775 | <1% | 408 | $20K | |
| 96116 | <1% | 649 | $16K | |
| 77080 | <1% | 217 | $12K | |
| 94010 | <1% | 487 | $9K | |
| 99457 | <1% | 286 | $9K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 639 | $8K |
| 95930 | <1% | 521 | $8K | |
| 96138 | <1% | 395 | $6K | |
| 99454 | <1% | 69 | $3K | |
| 82274 | <1% | 235 | $3K | |
| 95921 | <1% | 82 | $3K | |
| 81007 | <1% | 114 | $3K | |
| 93268 | <1% | 28 | $2K | |
| 93000 | <1% | 104 | $2K | |
| 96127 | <1% | 505 | $1K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 254 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 100 | $1K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 35 | $963.47 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 34 | $894.16 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 21 | $838.06 |
| 97032 | <1% | 34 | $481.44 | |
| 92546 | <1% | 26 | $430.92 | |
| 95012 | <1% | 33 | $346.94 | |
| 99490 | Ccm add 20min | <1% | 146 | $345.18 |
| 92541 | <1% | 16 | $328.37 | |
| 92537 | <1% | 16 | $296.95 | |
| 92542 | <1% | 16 | $268.14 | |
| 17110 | <1% | 20 | $254.91 | |
| 92544 | <1% | 16 | $204.83 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 326 | $187.40 |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | <1% | 77 | $144.40 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 18 | $0.00 |
| 1111F | 0% | 39 | $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 officialQUERUBIN, JESUS (OWNER)