Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KENTUCKY MSO LLC

NPI: 1164867883 · GEORGETOWN, KY 40324 · Internal Medicine Physician · NPI assigned 05/08/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BOWMAN, MONICA controls 20+ related entities in our dataset. Read more

$406K
Total Medicaid Paid
12,890
Total Claims
10,990
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBOWMAN, MONICA (CORPORATE SECRETARY)
NPI Enumeration Date05/08/2013

Related Entities

Other providers sharing the same authorized official: BOWMAN, MONICA

ProviderCityStateTotal Paid
DLP MARQUETTE PHYSICIAN PRACTICES INC MARQUETTE MI $17.80M
CLARK REGIONAL PHYSICIAN PRACTICES, LLC WINCHESTER KY $9.45M
KENTUCKY MSO, LLC GEORGETOWN KY $6.59M
CLARK REGIONAL PHYSICIAN PRACTICES LLC WINCHESTER KY $2.97M
PINELAKE PHYSICIAN PRACTICE, LLC MAYFIELD KY $2.26M
PORTAGE PHYSICIAN PRACTICES INC HANCOCK MI $1.63M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.39M
COLORADO PLAINS PHYSICIAN PRACTICES LLC FORT MORGAN CO $1.28M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.27M
NORTHWEST ALABAMA EMERGENCY MEDICINE LLC FLORENCE AL $1.24M
DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC HENDERSON NC $897K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $847K
PORTAGE PHYSICIAN PRACTICES INC. HOUGHTON MI $763K
DLP CONEMAUGH PHYSICIAN PRACTICES LLC ROARING SPRING PA $761K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $529K
RCCH TRIOS PHYSICIANS LLC KENNEWICK WA $401K
NATIONAL PARK CARDIOLOGY SERVICES, LLC HOT SPRINGS AR $341K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $331K
KENTUCKY MSO LLC GEORGETOWN KY $282K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $266K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,165 $73K
2019 665 $37K
2020 934 $56K
2021 1,036 $54K
2022 869 $46K
2023 5,624 $86K
2024 2,597 $54K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,348 1,779 $182K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 634 519 $80K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,022 1,662 $74K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 620 535 $37K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 912 777 $22K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 49 40 $9K
99442 12 12 $428.30
36415 Collection of venous blood by venipuncture 13 12 $10.47
1159F 953 850 $0.00
3078F 364 326 $0.00
1160F 954 851 $0.00
3077F 389 356 $0.00
3725F 209 184 $0.00
1036F 635 554 $0.00
3080F 248 226 $0.00
3008F 1,135 1,039 $0.00
1034F 454 413 $0.00
3074F 482 437 $0.00
3075F 96 88 $0.00
3079F 361 330 $0.00