Bellefonte Physician Services, INC.
Bellefonte Physician Services, INC. was paid $389K by Medicaid between Jan 2018 and May 2020, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
ASHLAND, KY 41101
Next to other Physician Assistant 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 | 5,355 | $168K | |
| 2019 | 5,686 | $166K | |
| 2020 | 2,236 | $55K |
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 | 65% | 7,000 | 6,074 | $253K |
| 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 | 10% | 725 | 693 | $39K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 6.6% | 1,801 | 859 | $26K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.9% | 1,080 | 1,031 | $15K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.2% | 584 | 542 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 139 | 124 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 118 | 104 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.9% | 102 | 99 | $7K |
| 87807 | 1.6% | 488 | 465 | $6K | |
| 87081 | 1.4% | 732 | 710 | $5K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 122 | 112 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | 14 | $1K |
8 more codes
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 129 | $796.93 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 43 | $456.33 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $447.62 |
| 99441 | <1% | 20 | $201.08 | |
| 81002 | <1% | 83 | $88.78 | |
| 81003 | <1% | 40 | $61.91 | |
| J7614 | Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg | <1% | 30 | $35.65 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 12 | $6.06 |
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.