Bluegrass Clinic Stanford, PLLC
Bluegrass Clinic Stanford, PLLC was paid $1.17M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.
33Billing provider infoBLUEGRASS CLINIC STANFORD, PLLC
STANFORD, KY 40484
STANFORD, KY 40484
33aNPI1265571020assigned 02/06/2007
33bProvider typeLegal Medicine
28Total paid$1.17M
24GClaims51,062
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Legal Medicine providers in Kentucky
Rank by total paid#3 of 6
Median peer was paid$173K
This provider vs. median6.8×
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 MILLER, JAMES controls 13+ related entities in our dataset. Read more
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 | 9,552 | $191K | |
| 2019 | 10,463 | $191K | |
| 2020 | 9,300 | $177K | |
| 2021 | 4,893 | $143K | |
| 2022 | 6,871 | $189K | |
| 2023 | 7,064 | $201K | |
| 2024incomplete | 2,919 | $82K |
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 | 74% | 28,436 | 24,005 | $865K |
| 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 | 5.6% | 1,640 | 1,429 | $66K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.1% | 1,545 | 1,273 | $37K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.9% | 965 | 912 | $34K |
| 80053 | Comprehensive metabolic panel | 2.1% | 3,013 | 2,818 | $24K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 330 | 317 | $21K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.5% | 2,756 | 2,558 | $18K |
| 36415 | Collection of venous blood by venipuncture | 1.2% | 4,557 | 3,991 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 1,079 | 993 | $15K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.2% | 248 | 222 | $14K |
| 80061 | Lipid panel | 1.1% | 1,353 | 1,281 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 487 | 439 | $12K |
23 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 568 | $11K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 116 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 496 | $6K |
| 87428 | <1% | 113 | $4K | |
| 90686 | <1% | 132 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 271 | $2K |
| 76830 | Ultrasound, transvaginal | <1% | 29 | $1K |
| 81025 | <1% | 229 | $1K | |
| 81003 | <1% | 2,015 | $964.87 | |
| 95117 | <1% | 61 | $626.56 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 43 | $502.90 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 83 | $496.68 |
| 82274 | <1% | 42 | $462.96 | |
| 90633 | <1% | 143 | $449.89 | |
| 90658 | <1% | 27 | $331.78 | |
| 82044 | <1% | 87 | $318.66 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 42 | $314.33 |
| 90651 | <1% | 39 | $234.80 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $149.38 |
| 82270 | <1% | 47 | $127.15 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 29 | $67.40 |
| 80076 | <1% | 15 | $60.18 | |
| 36416 | 0% | 13 | $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 officialMILLER, JAMES (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Putnam County Comprehensive Service | Greencastle, IN | $38.25M |
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| Bates Miller & Sims PLLC | Stanford, KY | $3.23M |
| The Regional Health System of Acadiana, LLC | Lafayette, LA | $2.87M |
| Turning Points Recovery Services INC. | Prineville, OR | $834K |
| James Robert Miller | Tracy, CA | $718K |
| Bluegrass Clinic Liberty, PLLC | Liberty, KY | $357K |
| Dix River Family Medicine & Womens Healthcare Center PSC | Stanford, KY | $132K |
| The Regional Health System of Acadiana, LLC | Lafayette, LA | $107K |
| Skyline Womens Health Associates | Madison, TN | $58K |
| Monarch Obstetrics and Gynecology LLC | Wooster, OH | $49K |
| Western Slope Accident Care, LLC | Grand Junction, CO | $18K |
| James R. Miller DDS MS PA | Golden Valley, MN | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.