Medicaid Provider Spending

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

BOURBON PHYSICIAN PRACTICE LLC

NPI: 1356689079 · CARLISLE, KY 40311 · Family Nurse Practitioner · NPI assigned 01/30/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BOWMAN, MONICA controls 20+ related entities in our dataset. Read more

$246K
Total Medicaid Paid
10,165
Total Claims
8,664
Beneficiaries
15
Codes Billed
2018-01
First Month
2022-07
Last Month

Provider Details

Authorized OfficialBOWMAN, MONICA (PRESIDENT)
NPI Enumeration Date01/30/2013

Related Entities

Other providers sharing the same authorized official: BOWMAN, MONICA

ProviderCityStateTotal Paid
DLP MARQUETTE PHYSICIAN PRACTICES INC MARQUETTE MI $17.80M
CLARK REGIONAL PHYSICIAN PRACTICES, LLC WINCHESTER KY $9.45M
KENTUCKY MSO, LLC GEORGETOWN KY $6.59M
CLARK REGIONAL PHYSICIAN PRACTICES LLC WINCHESTER KY $2.97M
PINELAKE PHYSICIAN PRACTICE, LLC MAYFIELD KY $2.26M
PORTAGE PHYSICIAN PRACTICES INC HANCOCK MI $1.63M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.39M
COLORADO PLAINS PHYSICIAN PRACTICES LLC FORT MORGAN CO $1.28M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.27M
NORTHWEST ALABAMA EMERGENCY MEDICINE LLC FLORENCE AL $1.24M
DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC HENDERSON NC $897K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $847K
PORTAGE PHYSICIAN PRACTICES INC. HOUGHTON MI $763K
DLP CONEMAUGH PHYSICIAN PRACTICES LLC ROARING SPRING PA $761K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $529K
KENTUCKY MSO LLC GEORGETOWN KY $406K
RCCH TRIOS PHYSICIANS LLC KENNEWICK WA $401K
NATIONAL PARK CARDIOLOGY SERVICES, LLC HOT SPRINGS AR $341K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $331K
KENTUCKY MSO LLC GEORGETOWN KY $282K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,795 $93K
2019 2,518 $59K
2020 1,337 $35K
2021 1,556 $35K
2022 959 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,416 4,470 $158K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,330 1,163 $56K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,358 1,261 $14K
36415 Collection of venous blood by venipuncture 1,123 986 $5K
99215 Prolong outpt/office vis 77 65 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 166 153 $4K
87428 34 30 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 139 116 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 59 54 $609.04
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 64 50 $579.66
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 24 23 $416.91
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 53 43 $392.28
87400 41 18 $292.27
81003 195 170 $80.04
T1015 Clinic visit/encounter, all-inclusive 86 62 $0.00