Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Kentucky Mso LLC

Kentucky Mso LLC was paid $406K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 45% of everything it billed.

33Billing provider infoKENTUCKY MSO LLC
GEORGETOWN, KY 40324
33aNPI1164867883assigned 05/08/2013
28Total paid$406K
24GClaims12,890
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in Kentucky

Rank by total paid#64 of 231
Median peer was paid$77K
This provider vs. median5.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official BOWMAN, MONICA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
20181,165$73K
2019665$37K
2020934$56K
20211,036$54K
2022869$46K
20235,624$86K
2024incomplete2,597$54K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 45% 2,348 1,779 $182K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 20% 634 519 $80K
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 18% 2,022 1,662 $74K
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 9.2% 620 535 $37K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.5% 912 777 $22K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2.2% 49 40 $9K
99442 <1% 12 12 $428.30
36415 Collection of venous blood by venipuncture <1% 13 12 $10.47
1159F 0% 953 850 $0.00
3078F 0% 364 326 $0.00
1160F 0% 954 851 $0.00
3077F 0% 389 356 $0.00
8 more codes
3725F 0% 209 $0.00
1036F 0% 635 $0.00
3080F 0% 248 $0.00
3008F 0% 1,135 $0.00
1034F 0% 454 $0.00
3074F 0% 482 $0.00
3075F 0% 96 $0.00
3079F 0% 361 $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 officialBOWMAN, MONICA (CORPORATE SECRETARY)
Same official

Other billing entities under BOWMAN, MONICA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.