Bailey, Brian
Bailey, Brian was paid $437K by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoBAILEY, BRIAN
ASHLAND, KY 41101
ASHLAND, KY 41101
33aNPI1265436141assigned 06/09/2005
33bProvider typeFoot & Ankle Surgery Podiatrist
28Total paid$437K
24GClaims19,479
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Foot & Ankle Surgery Podiatrist providers in Kentucky
Rank by total paid#6 of 30
Median peer was paid$43K
This provider vs. median10×
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 | |
|---|---|---|---|
| 2018 | 4,716 | $124K | |
| 2019 | 3,944 | $92K | |
| 2020 | 2,716 | $58K | |
| 2021 | 2,724 | $56K | |
| 2022 | 2,191 | $41K | |
| 2023 | 2,069 | $44K | |
| 2024incomplete | 1,119 | $22K |
Box 24 · Service lines
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 | 45% | 7,312 | 5,728 | $198K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.2% | 690 | 625 | $40K |
| 11721 | 9.0% | 2,348 | 2,173 | $39K | |
| 73630 | 7.0% | 1,870 | 882 | $30K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.0% | 1,607 | 1,311 | $30K |
| 93923 | 2.5% | 182 | 171 | $11K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 2.4% | 496 | 395 | $11K |
| 20550 | 2.3% | 250 | 149 | $10K | |
| 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 | 2.0% | 183 | 167 | $9K |
| 11056 | 1.9% | 1,001 | 929 | $9K | |
| 29580 | 1.9% | 507 | 146 | $8K | |
| 93702 | 1.8% | 185 | 166 | $8K |
23 more codes
| 76881 | 1.4% | 123 | $6K | |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 1.2% | 154 | $5K |
| 76942 | <1% | 125 | $4K | |
| A5513 | For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | <1% | 39 | $4K |
| 11720 | <1% | 513 | $4K | |
| 11730 | <1% | 92 | $3K | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 472 | $2K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 125 | $1K |
| L1906 | Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf | <1% | 17 | $1K |
| L3060 | Foot, arch support, removable, premolded, longitudinal/ metatarsal, each | <1% | 12 | $1K |
| A5514 | For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | <1% | 36 | $701.88 |
| 20600 | <1% | 21 | $477.42 | |
| 11719 | <1% | 41 | $65.39 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | <1% | 66 | $0.11 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 86 | $0.11 |
| G8482 | Influenza immunization administered or previously received | <1% | 55 | $0.09 |
| G8783 | Normal blood pressure reading documented, follow-up not required | <1% | 61 | $0.08 |
| 1036F | 0% | 85 | $0.00 | |
| 1100F | 0% | 85 | $0.00 | |
| 4040F | 0% | 64 | $0.00 | |
| 99072 | 0% | 356 | $0.00 | |
| 3288F | 0% | 83 | $0.00 | |
| 888888 | 0% | 137 | $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.