Physician
Kentucky Medical Specialists, PSC
Kentucky Medical Specialists, PSC was paid $264K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 32% of everything it billed.
33Billing provider infoKENTUCKY MEDICAL SPECIALISTS, PSC
LOUISVILLE, KY 40207
LOUISVILLE, KY 40207
33aNPI1295090884assigned 07/10/2012
33bProvider typeInternal Medicine Physician
28Total paid$264K
24GClaims21,282
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Kentucky
Rank by total paid#79 of 231
Median peer was paid$77K
This provider vs. median3.4×
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 | 2,341 | $35K | |
| 2019 | 3,104 | $37K | |
| 2020 | 4,416 | $52K | |
| 2021 | 3,731 | $52K | |
| 2022 | 2,498 | $34K | |
| 2023 | 3,026 | $31K | |
| 2024incomplete | 2,166 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 32% | 9,807 | 8,575 | $84K |
| 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 | 18% | 1,487 | 1,211 | $48K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 1,698 | 1,384 | $45K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 14% | 2,386 | 497 | $38K |
| 99307 | 6.3% | 2,454 | 1,990 | $17K | |
| 99223 | Prolong inpt eval add15 m | 2.4% | 192 | 173 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.1% | 138 | 119 | $6K |
| 99306 | Prolong nursin fac eval 15m | 1.9% | 112 | 83 | $5K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.5% | 242 | 219 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.0% | 269 | 86 | $3K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 219 | 188 | $3K |
| 99318 | <1% | 130 | 128 | $2K |
16 more codes
| 99305 | <1% | 96 | $1K | |
| 80305 | <1% | 229 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 371 | $723.22 |
| 99497 | <1% | 16 | $420.21 | |
| 1125F | <1% | 664 | $1.69 | |
| 3008F | <1% | 593 | $0.29 | |
| 1170F | <1% | 38 | $0.08 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 14 | $0.01 |
| 1158F | 0% | 13 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 16 | $0.00 |
| 1160F | 0% | 16 | $0.00 | |
| 0518F | 0% | 20 | $0.00 | |
| 1159F | 0% | 16 | $0.00 | |
| 1101F | 0% | 17 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 15 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 14 | $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 officialCHAGUA, MARLON (PRESIDENT)