Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Bluegrass Medical Center LLC

Bluegrass Medical Center LLC was paid $276K by Medicaid between Jan 2018 and Oct 2020, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoBLUEGRASS MEDICAL CENTER LLC
CORBIN, KY 40701
33aNPI1386781789assigned 02/01/2007
28Total paid$276K
24GClaims13,913
24DCodes billed19
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers

Next to other Family Nurse Practitioner providers in Kentucky

Rank by total paid#71 of 424
Median peer was paid$19K
This provider vs. median15×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20186,282$112K
20193,397$62K
20204,234$102K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35% 4,294 3,714 $97K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 33% 4,912 572 $90K
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 19% 1,705 1,518 $53K
99231 Subsequent hospital care, per day, straightforward or low complexity 4.2% 964 145 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.6% 801 677 $7K
99223 Prolong inpt eval add15 m 1.9% 96 89 $5K
99443 1.6% 173 165 $4K
99442 1.0% 137 134 $3K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 30 13 $915.45
90674 <1% 77 70 $733.07
90756 <1% 103 95 $669.43
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 47 47 $667.90
7 more codes
99222 Initial hospital care, per day, moderate complexity <1% 20 $639.57
99239 Hospital discharge day management, more than 30 minutes <1% 16 $506.79
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 83 $444.04
94375 <1% 14 $188.89
99307 <1% 47 $91.92
G0008 Administration of influenza virus vaccine <1% 71 $13.50
J1094 Injection, dexamethasone acetate, 1 mg <1% 323 $0.20

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 officialGILMORE, CHAWNTAY (OFFICE MANAGER)