Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KENTUCKY MEDICAL SPECIALISTS, PSC

NPI: 1295090884 · LOUISVILLE, KY 40207 · Internal Medicine Physician · NPI assigned 07/10/2012

$264K
Total Medicaid Paid
21,282
Total Claims
16,471
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHAGUA, MARLON (PRESIDENT)
NPI Enumeration Date07/10/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,341 $35K
2019 3,104 $37K
2020 4,416 $52K
2021 3,731 $52K
2022 2,498 $34K
2023 3,026 $31K
2024 2,166 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99308 Subsequent nursing facility care, per day, straightforward 9,807 8,575 $84K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,487 1,211 $48K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,698 1,384 $45K
99233 Prolong inpt eval add15 m 2,386 497 $38K
99307 2,454 1,990 $17K
99223 Prolong inpt eval add15 m 192 173 $6K
99215 Prolong outpt/office vis 138 119 $6K
99306 Prolong nursin fac eval 15m 112 83 $5K
99239 Hospital discharge day management, more than 30 minutes 242 219 $4K
99232 Subsequent hospital care, per day, moderate complexity 269 86 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 219 188 $3K
99318 130 128 $2K
99305 96 88 $1K
80305 229 183 $1K
36415 Collection of venous blood by venipuncture 371 317 $723.22
99497 16 13 $420.21
1125F 664 557 $1.69
3008F 593 502 $0.29
1170F 38 30 $0.08
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 14 12 $0.01
1158F 13 12 $0.00
G0444 Annual depression screening, 5 to 15 minutes 16 15 $0.00
1160F 16 15 $0.00
0518F 20 16 $0.00
1159F 16 15 $0.00
1101F 17 15 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 15 14 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14 14 $0.00