Commonwealth of Kentucky
Commonwealth of Kentucky was paid $451K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.
SOMERSET, KY 42501
Next to other Multi-Specialty Clinic/Center 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 | 651 | $47K | |
| 2019 | 566 | $39K | |
| 2020 | 1,057 | $69K | |
| 2021 | 1,498 | $103K | |
| 2022 | 1,045 | $65K | |
| 2023 | 1,526 | $70K | |
| 2024incomplete | 1,217 | $58K |
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 | 83% | 5,467 | 4,700 | $376K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.9% | 400 | 356 | $40K |
| 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 | 3.4% | 226 | 198 | $15K |
| D1110 | Prophylaxis - adult | <1% | 65 | 58 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 328 | 248 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 46 | 33 | $3K |
| 92567 | <1% | 36 | 29 | $3K | |
| 92557 | <1% | 13 | 12 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 768 | 664 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 30 | 30 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | 13 | $1K |
| 99442 | <1% | 19 | 17 | $939.40 |
3 more codes
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
| Provider | Location | Paid |
|---|---|---|
| Emergency Medical Services of Lorain, INC. | Lorain, OH | $6.88M |
| Ultimate Home Care LLC, Dba Oak View Health Services | Idabel, OK | $4.68M |
| Nes Georgia INC | Elizabeth, NJ | $4.66M |
| Nes of Sandusky INC | Logansport, IN | $2.72M |
| Nes Tennessee INC | Montgomery, AL | $1.76M |
| Whitaker National Corporation | Jackson, KY | $1.69M |
| Whitaker National Corporation | Paintsville, KY | $1.62M |
| Emergency Medical Services of Lorain, INC. | Oberlin, OH | $1.58M |
| Commonwealth of Kentucky | Louisville, KY | $1.51M |
| Whitaker National Corporation | Louisa, KY | $1.19M |
| Nes Tennessee INC | Monroeville, AL | $915K |
| Jennifer C Moore MSW LCSW INC | Las Vegas, NV | $620K |
| Nes Kentucky INC | Nashville, AR | $617K |
| Hles of Ohio INC | East Liverpool, OH | $553K |
| Commonwealth of Kentucky | Lexington, KY | $435K |
| Nes Medical Services of New England INC | Bangor, ME | $348K |
| Nes Louisiana INC | Springhill, LA | $257K |
| Hles of Ohio, INC. | Wauseon, OH | $229K |
| Ultimate Home Care LLC, Dba Oak View Helath Services | Idabel, OK | $181K |
| Commonwealth of Kentucky | Hopkinsville, KY | $151K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.