NP / PA
Concord Medical Group of Kentucky PLLC
Concord Medical Group of Kentucky PLLC was paid $4.65M by Medicaid between May 2018 and Dec 2024, across 19 billing codes. Its largest line is 99284, emergency room visit (serious) — 52% of everything it billed.
33Billing provider infoCONCORD MEDICAL GROUP OF KENTUCKY PLLC
HARDINSBURG, KY 40143
HARDINSBURG, KY 40143
33aNPI1346746385assigned 03/30/2018
33bProvider typeNurse Practitioner
28Total paid$4.65M
24GClaims106,576
24DCodes billed19
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#13 of 260
Median peer was paid$89K
This provider vs. median52×
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 | 1,199 | $53K | |
| 2019 | 4,451 | $195K | |
| 2020 | 6,090 | $309K | |
| 2021 | 15,540 | $838K | |
| 2022 | 19,697 | $965K | |
| 2023 | 25,764 | $1.12M | |
| 2024incomplete | 33,835 | $1.17M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 52% | 52,347 | 44,708 | $2.42M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 34% | 23,975 | 20,110 | $1.59M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 9.7% | 13,842 | 11,912 | $449K |
| 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 | 3.3% | 3,406 | 3,030 | $155K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 3,006 | 2,436 | $11K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 153 | 115 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 365 | 282 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 230 | 156 | $7K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 31 | 26 | $3K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 19 | 13 | $172.44 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 18 | 13 | $121.31 |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 33 | 12 | $119.90 |
7 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 22 | $97.72 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 20 | $29.75 |
| M1208 | Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety | <1% | 8,599 | $0.02 |
| M1207 | Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety | 0% | 366 | $0.00 |
| G8710 | Patient prescribed antibiotic | 0% | 19 | $0.00 |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | 0% | 113 | $0.00 |
| 99053 | 0% | 12 | $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 officialSHEETS, HARRY (OWNER/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Concord Medical Group of Texas PLLC | Lubbock, TX | $5.69M |
| Concord North Texas, PLLC | Bonham, TX | $4.08M |
| Four Corners Emergency Physicians PLLC | Alamogordo, NM | $3.24M |
| Concord Company of Tennessee PLLC | Leitchfield, KY | $2.45M |
| Delaware River Medicine, PLLC | Port Jervis, NY | $1.54M |
| Great Lakes Emergency Physicians, PLLC | Princeton, IN | $777K |
| Western Mountain Hospital Physicians PLLC | Alamogordo, NM | $193K |
| Concord Company of Arkansas PLLC | El Dorado, AR | $123K |
| South Central Physicians PLLC | Lubbock, TX | $59K |
| Mid West Hospital Physicians, PLLC | Princeton, IN | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.