Bellefonte Physician Services, INC.
Bellefonte Physician Services, INC. was paid $49K by Medicaid between Jan 2018 and Mar 2020, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.
ASHLAND, KY 41101
Next to other Pulmonary Disease Physician 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 | |
|---|---|---|---|
| 2018 | 2,481 | $19K | |
| 2019 | 3,029 | $24K | |
| 2020 | 425 | $6K |
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 | 67% | 1,401 | 1,267 | $33K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 10% | 112 | 104 | $5K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.2% | 109 | 39 | $3K |
| 94060 | 5.0% | 205 | 191 | $2K | |
| 94727 | 3.2% | 251 | 236 | $2K | |
| 99223 | Prolong inpt eval add15 m | 2.4% | 30 | 28 | $1K |
| 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 | 2.4% | 27 | 26 | $1K |
| 94729 | 2.2% | 251 | 236 | $1K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 24 | 13 | $408.34 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 48 | 43 | $0.00 |
| 1090F | 0% | 90 | 82 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 307 | 246 | $0.00 |
8 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 735 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 28 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 566 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 348 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 404 | $0.00 |
| 3017F | 0% | 570 | $0.00 | |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 237 | $0.00 |
| 1101F | 0% | 192 | $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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.