NP / PA
Fuse Medical
Fuse Medical was paid $7.03M by Medicaid between Jun 2021 and Dec 2024, across 29 billing codes. Its largest line is H0038, Self-help/peer services, per 15 minutes — 39% of everything it billed.
33Billing provider infoFUSE MEDICAL
LONDON, KY 40741
LONDON, KY 40741
33aNPI1164003125assigned 04/20/2021
33bProvider typeNurse Practitioner
28Total paid$7.03M
24GClaims144,325
24DCodes billed29
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#7 of 260
Median peer was paid$89K
This provider vs. median79×
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 | |
|---|---|---|---|
| 2021 | 1,817 | $69K | |
| 2022 | 6,713 | $266K | |
| 2023 | 56,191 | $2.50M | |
| 2024incomplete | 79,604 | $4.20M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0038 | Self-help/peer services, per 15 minutes | 39% | 64,250 | 2,039 | $2.72M |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 16% | 14,754 | 1,408 | $1.16M |
| T2023 | Targeted case management; per month | 10% | 2,988 | 2,124 | $731K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 8.5% | 10,140 | 3,418 | $596K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 4.4% | 10,321 | 8,388 | $313K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.8% | 10,358 | 8,391 | $267K |
| H2020 | Therapeutic behavioral services, per diem | 3.5% | 2,775 | 238 | $248K |
| H2027 | Psychoeducational service, per 15 minutes | 3.1% | 454 | 188 | $217K |
| H0031 | Mental health assessment, by non-physician | 2.5% | 3,274 | 2,792 | $177K |
| H0032 | Mental health service plan development by non-physician | 1.6% | 2,591 | 1,940 | $115K |
| 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 | 1.6% | 1,591 | 1,391 | $110K |
| 90785 | 1.1% | 12,846 | 5,327 | $80K |
17 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 889 | $65K |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 1,316 | $53K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,301 | $52K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 915 | $44K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,289 | $36K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 451 | $19K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 451 | $18K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 83 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 481 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 93 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 86 | $2K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 228 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 19 | $1K |
| 80305 | <1% | 303 | $949.06 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 14 | $437.50 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 29 | $177.42 |
| 96127 | 0% | 35 | $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 officialWHITHEAD, TAMMY (OWNER)