Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Bellefonte Physician Services, INC.

Bellefonte Physician Services, INC. was paid $174K by Medicaid between Jan 2018 and Mar 2020, across 24 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 41% of everything it billed.

33Billing provider infoBELLEFONTE PHYSICIAN SERVICES, INC.
ASHLAND, KY 41101
33aNPI1134359920assigned 07/15/2009
33bProvider typePhysician Assistant
28Total paid$174K
24GClaims12,431
24DCodes billed24
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers

Next to other Physician Assistant providers in Kentucky

Rank by total paid#98 of 214
Median peer was paid$134K
This provider vs. median1.3×

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$5.0K$10K2018201920202021202220232024
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
20185,961$76K
20195,761$83K
2020709$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 41% 1,784 1,526 $71K
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 22% 1,522 1,251 $39K
93000 6.7% 1,078 914 $12K
93016 5.7% 683 608 $10K
78451 5.7% 334 291 $10K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.6% 394 341 $10K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.4% 788 286 $9K
93018 4.2% 684 609 $7K
99223 Prolong inpt eval add15 m 2.0% 94 78 $3K
99222 Initial hospital care, per day, moderate complexity <1% 85 66 $1K
93227 <1% 29 27 $707.16
1101F 0% 310 245 $0.00
12 more codes
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 96 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 761 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 0% 433 $0.00
3017F 0% 545 $0.00
G8432 Depression screening not documented, reason not given 0% 608 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 414 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 1,240 $0.00
1090F 0% 121 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 377 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 16 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 0% 17 $0.00
G8400 Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given 0% 18 $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 officialBUCHHEIT, JOE (CFO)