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

Internal Medicine Consultants, PLLC

Internal Medicine Consultants, PLLC was paid $271K by Medicaid between Jan 2018 and Dec 2019, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoINTERNAL MEDICINE CONSULTANTS, PLLC
LOUISVILLE, KY 40202
33aNPI1255582755assigned 10/02/2008
28Total paid$271K
24GClaims20,490
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers

Next to other Internal Medicine Physician providers in Kentucky

Rank by total paid#78 of 231
Median peer was paid$77K
This provider vs. median3.5×

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

$0$10K$20K2018201920202021202220232024
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
201810,912$152K
20199,578$119K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39% 3,084 2,857 $107K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 21% 700 691 $56K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13% 1,376 1,282 $36K
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 9.3% 459 443 $25K
99408 8.4% 759 753 $23K
36415 Collection of venous blood by venipuncture 5.1% 2,863 2,669 $14K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3.2% 123 120 $9K
99385 <1% 15 15 $1K
88142 <1% 12 12 $302.12
3074F <1% 3,075 2,712 $63.69
3078F <1% 2,993 2,655 $63.53
81003 <1% 25 25 $43.08
15 more codes
3079F <1% 1,373 $39.72
3077F <1% 817 $29.82
4010F <1% 475 $25.26
3075F <1% 898 $21.93
4050F <1% 530 $19.04
4013F <1% 213 $14.44
0513F <1% 169 $6.99
4145F <1% 167 $6.78
3080F <1% 264 $6.73
4008F <1% 40 $1.35
1126F 0% 12 $0.00
1170F 0% 12 $0.00
3288F 0% 12 $0.00
3050F 0% 12 $0.00
3725F 0% 12 $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 officialPOLO, JUAN (PHYSICIAN)