Medicaid Provider Spending

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

CONCORD MEDICAL GROUP OF KENTUCKY PLLC

NPI: 1346746385 · HARDINSBURG, KY 40143 · Nurse Practitioner · NPI assigned 03/30/2018

$4.65M
Total Medicaid Paid
106,576
Total Claims
90,518
Beneficiaries
19
Codes Billed
2018-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHEETS, HARRY (OWNER/PRESIDENT)
NPI Enumeration Date03/30/2018

Related Entities

Other providers sharing the same authorized official: SHEETS, HARRY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 33,835 $1.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 52,347 44,708 $2.42M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 23,975 20,110 $1.59M
99283 Emergency department visit for the evaluation and management, moderate severity 13,842 11,912 $449K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,406 3,030 $155K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,006 2,436 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 153 115 $9K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 365 282 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 230 156 $7K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 31 26 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 19 13 $172.44
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 18 13 $121.31
99233 Prolong inpt eval add15 m 33 12 $119.90
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 22 14 $97.72
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 20 13 $29.75
M1208 Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 8,599 7,289 $0.02
M1207 Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 366 271 $0.00
G8710 Patient prescribed antibiotic 19 17 $0.00
J8499 Prescription drug, oral, non chemotherapeutic, nos 113 89 $0.00
99053 12 12 $0.00