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
CORBIN, KY 40701
33aNPI1386781789assigned 02/01/2007
33bProvider typeFamily Nurse Practitioner
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
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 | 6,282 | $112K | |
| 2019 | 3,397 | $62K | |
| 2020 | 4,234 | $102K |
Box 24 · Service lines
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 | 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)