Bellefonte Physician Services, INC.
Bellefonte Physician Services, INC. was paid $184K by Medicaid between Jan 2018 and May 2020, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
ASHLAND, KY 41102
Next to other Family Medicine Physician 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 | 4,492 | $76K | |
| 2019 | 3,797 | $84K | |
| 2020 | 870 | $24K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 63% | 2,924 | 2,490 | $115K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 2,125 | 1,785 | $63K |
| 90688 | 1.1% | 208 | 194 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 122 | 118 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 711 | 611 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 103 | 45 | $1K |
| 99442 | <1% | 13 | 13 | $259.18 | |
| 81003 | <1% | 70 | 61 | $21.40 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 671 | 500 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 347 | 257 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 376 | 288 | $0.00 |
| 2022F | 0% | 14 | 12 | $0.00 |
7 more codes
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 18 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 442 | $0.00 |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 113 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 466 | $0.00 |
| 3017F | 0% | 342 | $0.00 | |
| 1101F | 0% | 81 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.