Commonwealth of Kentucky
Commonwealth of Kentucky was paid $1.51M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
LOUISVILLE, KY 40216
Next to other Multi-Specialty Clinic/Center 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 | 8,017 | $282K | |
| 2019 | 8,498 | $293K | |
| 2020 | 3,098 | $121K | |
| 2021 | 6,629 | $190K | |
| 2022 | 7,446 | $202K | |
| 2023 | 7,226 | $207K | |
| 2024incomplete | 4,054 | $220K |
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 | 22% | 5,482 | 4,913 | $333K |
| 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 | 15% | 3,499 | 3,117 | $231K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 6,758 | 834 | $185K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 9.5% | 3,513 | 1,141 | $144K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.0% | 1,949 | 1,843 | $122K |
| D1110 | Prophylaxis - adult | 6.4% | 1,939 | 1,852 | $97K |
| D9920 | 5.3% | 824 | 375 | $80K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 472 | 431 | $46K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 1,510 | 1,375 | $45K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.7% | 1,174 | 469 | $41K |
| D0210 | Intraoral - complete series of radiographic images | 2.4% | 291 | 263 | $36K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 2.3% | 1,552 | 539 | $35K |
30 more codes
| D1206 | Topical application of fluoride varnish | 1.0% | 2,770 | $15K |
| D0330 | Panoramic radiographic image | <1% | 130 | $14K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 428 | $12K |
| 96156 | <1% | 463 | $12K | |
| D0120 | Dental checkup, returning patient | <1% | 2,183 | $12K |
| D0412 | <1% | 868 | $11K | |
| D4910 | <1% | 165 | $10K | |
| 96151 | <1% | 282 | $8K | |
| D4342 | <1% | 199 | $6K | |
| 97116 | <1% | 122 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,165 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 44 | $3K |
| 99443 | <1% | 77 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 43 | $1K |
| 90686 | <1% | 113 | $1K | |
| 93000 | <1% | 41 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 30 | $973.97 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 26 | $942.42 |
| D0140 | Limited oral evaluation - problem focused | <1% | 14 | $776.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 12 | $678.75 |
| 99442 | <1% | 34 | $398.20 | |
| 99441 | <1% | 30 | $343.77 | |
| D9215 | 0% | 441 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | $0.00 |
| D0411 | 0% | 25 | $0.00 | |
| D1330 | 0% | 15 | $0.00 | |
| D0350 | 0% | 462 | $0.00 | |
| D1999 | 0% | 4,620 | $0.00 | |
| D0180 | 0% | 174 | $0.00 | |
| D9910 | 0% | 15 | $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
| Provider | Location | Paid |
|---|---|---|
| Emergency Medical Services of Lorain, INC. | Lorain, OH | $6.88M |
| Ultimate Home Care LLC, Dba Oak View Health Services | Idabel, OK | $4.68M |
| Nes Georgia INC | Elizabeth, NJ | $4.66M |
| Nes of Sandusky INC | Logansport, IN | $2.72M |
| Nes Tennessee INC | Montgomery, AL | $1.76M |
| Whitaker National Corporation | Jackson, KY | $1.69M |
| Whitaker National Corporation | Paintsville, KY | $1.62M |
| Emergency Medical Services of Lorain, INC. | Oberlin, OH | $1.58M |
| Whitaker National Corporation | Louisa, KY | $1.19M |
| Nes Tennessee INC | Monroeville, AL | $915K |
| Jennifer C Moore MSW LCSW INC | Las Vegas, NV | $620K |
| Nes Kentucky INC | Nashville, AR | $617K |
| Hles of Ohio INC | East Liverpool, OH | $553K |
| Commonwealth of Kentucky | Somerset, KY | $451K |
| Commonwealth of Kentucky | Lexington, KY | $435K |
| Nes Medical Services of New England INC | Bangor, ME | $348K |
| Nes Louisiana INC | Springhill, LA | $257K |
| Hles of Ohio, INC. | Wauseon, OH | $229K |
| Ultimate Home Care LLC, Dba Oak View Helath Services | Idabel, OK | $181K |
| Commonwealth of Kentucky | Hopkinsville, KY | $151K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.