Clinic
Louisville Patient Centered Medical Home, PSC
Louisville Patient Centered Medical Home, PSC was paid $732K by Medicaid between Jan 2018 and Apr 2022, across 86 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoLOUISVILLE PATIENT CENTERED MEDICAL HOME, PSC
LOUISVILLE, KY 40207
LOUISVILLE, KY 40207
33aNPI1265604763assigned 03/25/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$732K
24GClaims78,064
24DCodes billed86
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers
Next to other Primary Care Clinic/Center providers in Kentucky
Rank by total paid#15 of 44
Median peer was paid$145K
This provider vs. median5.0×
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 | 42,374 | $293K | |
| 2019 | 28,150 | $214K | |
| 2020 | 2,679 | $83K | |
| 2021 | 4,174 | $122K | |
| 2022 | 687 | $20K |
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 | 28% | 5,975 | 5,014 | $208K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 23% | 2,095 | 1,940 | $172K |
| 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 | 20% | 2,686 | 2,446 | $147K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 6.5% | 569 | 532 | $47K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.1% | 534 | 494 | $37K |
| 99205 | Prolong outpt/office vis | 4.7% | 292 | 259 | $34K |
| 99407 | 1.4% | 372 | 353 | $11K | |
| 90674 | 1.3% | 606 | 547 | $9K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 1.3% | 339 | 311 | $9K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 426 | 294 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 463 | 432 | $7K |
| 82947 | <1% | 1,377 | 1,118 | $5K |
74 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 1,968 | $5K |
| 99401 | <1% | 204 | $4K | |
| 90651 | <1% | 25 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 70 | $3K |
| 81003 | <1% | 1,776 | $3K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 5,346 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 129 | $2K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 4,090 | $2K |
| 92081 | <1% | 46 | $2K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 340 | $1K |
| 99442 | <1% | 60 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $988.90 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 251 | $744.80 |
| 36416 | <1% | 1,425 | $716.87 | |
| 90686 | <1% | 45 | $486.41 | |
| 90633 | <1% | 25 | $474.97 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 1,258 | $425.21 |
| 81025 | <1% | 62 | $406.10 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | <1% | 2,242 | $405.05 |
| 3074F | <1% | 4,646 | $327.34 | |
| 1111F | <1% | 612 | $311.21 | |
| 3078F | <1% | 4,003 | $268.56 | |
| 3725F | <1% | 1,775 | $267.85 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 97 | $252.00 |
| 3016F | <1% | 1,639 | $231.75 | |
| 2029F | <1% | 1,610 | $222.00 | |
| 3511F | <1% | 1,431 | $220.50 | |
| 3015F | <1% | 1,319 | $209.25 | |
| 3011F | <1% | 1,344 | $202.50 | |
| 4013F | <1% | 929 | $195.75 | |
| 4005F | <1% | 1,151 | $177.75 | |
| 99441 | <1% | 19 | $176.80 | |
| 3492F | <1% | 1,018 | $171.00 | |
| 0513F | <1% | 353 | $162.00 | |
| 1036F | <1% | 1,139 | $159.75 | |
| 92552 | <1% | 15 | $159.12 | |
| G8482 | Influenza immunization administered or previously received | <1% | 1,013 | $150.00 |
| 4010F | <1% | 851 | $122.04 | |
| 3044F | <1% | 1,667 | $117.53 | |
| 4004F | <1% | 795 | $110.35 | |
| 4008F | <1% | 551 | $108.00 | |
| 4040F | <1% | 720 | $107.57 | |
| 3079F | <1% | 1,021 | $105.98 | |
| 4086F | <1% | 689 | $99.05 | |
| 3048F | <1% | 1,008 | $99.00 | |
| 3049F | <1% | 467 | $92.25 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | <1% | 34 | $90.00 |
| 99406 | <1% | 25 | $78.84 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 140 | $74.91 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 33 | $67.50 |
| G0245 | Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education | <1% | 15 | $62.87 |
| 4140F | <1% | 480 | $60.75 | |
| 4050F | <1% | 452 | $51.75 | |
| 2028F | <1% | 264 | $51.75 | |
| 3075F | <1% | 421 | $49.59 | |
| 2027F | <1% | 221 | $45.00 | |
| 3077F | <1% | 469 | $40.69 | |
| 2022F | <1% | 275 | $38.31 | |
| 3050F | <1% | 232 | $38.25 | |
| 3014F | <1% | 515 | $31.50 | |
| 3080F | <1% | 517 | $29.49 | |
| 1160F | <1% | 5,163 | $29.32 | |
| G8598 | Aspirin or another antiplatelet therapy used | <1% | 24 | $22.50 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 121 | $16.41 |
| 4322F | <1% | 81 | $11.25 | |
| 3061F | <1% | 17 | $4.50 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 45 | $2.25 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 43 | $2.25 |
| 3008F | <1% | 442 | $0.02 | |
| 3045F | <1% | 53 | $0.01 | |
| 3017F | 0% | 787 | $0.00 | |
| 2014F | 0% | 141 | $0.00 | |
| 1090F | 0% | 27 | $0.00 | |
| 1159F | 0% | 37 | $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 officialCHARASIKA, JAMES (PRESIDENT/CEO)