NP / PA
Kentucky Medical Services Foundation
Kentucky Medical Services Foundation was paid $3.37M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
33Billing provider infoKENTUCKY MEDICAL SERVICES FOUNDATION
LEXINGTON, KY 40536
LEXINGTON, KY 40536
33aNPI1407059686assigned 06/06/2007
33bProvider typePhysician Assistant
28Total paid$3.37M
24GClaims93,683
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Kentucky
Rank by total paid#16 of 214
Median peer was paid$134K
This provider vs. median25×
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 | 13,145 | $504K | |
| 2019 | 10,862 | $415K | |
| 2020 | 8,207 | $281K | |
| 2021 | 9,725 | $346K | |
| 2022 | 13,130 | $461K | |
| 2023 | 21,581 | $747K | |
| 2024incomplete | 17,033 | $617K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 20% | 17,961 | 16,511 | $675K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 15% | 10,293 | 9,505 | $506K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 11% | 11,030 | 10,278 | $364K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 13,264 | 12,363 | $344K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.7% | 5,944 | 5,314 | $326K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.7% | 12,075 | 4,780 | $293K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 4.5% | 2,031 | 1,859 | $150K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.2% | 3,687 | 3,366 | $141K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 4.0% | 1,648 | 1,605 | $135K |
| 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 | 2.1% | 1,286 | 1,172 | $72K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.8% | 1,745 | 708 | $62K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.2% | 484 | 204 | $39K |
53 more codes
| 64615 | 1.0% | 571 | $35K | |
| 99417 | Prolong home eval add 15m | <1% | 979 | $32K |
| 20610 | <1% | 698 | $23K | |
| 62328 | <1% | 520 | $22K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 237 | $13K |
| 95251 | <1% | 974 | $12K | |
| 87631 | <1% | 92 | $11K | |
| 99245 | <1% | 103 | $10K | |
| 99223 | Prolong inpt eval add15 m | <1% | 121 | $8K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 336 | $8K |
| 20553 | <1% | 325 | $7K | |
| 99253 | <1% | 140 | $6K | |
| 92504 | <1% | 737 | $6K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 225 | $6K |
| 99243 | <1% | 97 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 259 | $6K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 130 | $5K |
| 54150 | <1% | 85 | $5K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 246 | $5K |
| 99255 | <1% | 50 | $4K | |
| 99254 | <1% | 85 | $4K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 302 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 112 | $3K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 82 | $3K |
| 69210 | <1% | 124 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 52 | $2K |
| 93295 | <1% | 91 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 130 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 351 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 38 | $1K |
| 49083 | <1% | 21 | $1K | |
| 99443 | <1% | 48 | $922.22 | |
| 81003 | <1% | 1,314 | $900.91 | |
| 99459 | <1% | 81 | $875.68 | |
| 90686 | <1% | 58 | $863.62 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 75 | $823.62 |
| 87807 | <1% | 71 | $724.16 | |
| 99406 | <1% | 98 | $550.12 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 26 | $525.55 |
| 99225 | <1% | 21 | $423.82 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $368.93 |
| 93298 | <1% | 32 | $358.59 | |
| 87400 | <1% | 34 | $354.38 | |
| 81025 | <1% | 78 | $313.97 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 39 | $312.21 |
| 99401 | <1% | 18 | $220.82 | |
| 93294 | <1% | 12 | $164.36 | |
| 99358 | Prolong nursin fac eval 15m | <1% | 20 | $158.29 |
| 80305 | <1% | 21 | $151.72 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 26 | $79.54 |
| 94010 | <1% | 17 | $45.85 | |
| 83986 | <1% | 12 | $7.16 | |
| 99024 | 0% | 1,807 | $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 officialKARPF, MICHAEL (EVPHA)
Parent organizationKENTUCKY MEDICAL SERVICES FOUNDATION
| Provider | Location | Paid |
|---|---|---|
| Kentucky Medical Services Foundation | Lexington, KY | $12.50M |
| Kentucky Medical Services Foundation | Lexington, KY | $3.26M |
| Kentucky Medical Services Foundation | Lexington, KY | $1.17M |
| Kentucky Medical Services Foundation | Lexington, KY | $668K |
| Kentucky Medical Services Foundation | Lexington, KY | $590K |
| Kentucky Medical Services Foundation | Lexington, KY | $461K |
| Kentucky Medical Services Foundation | Lexington, KY | $206K |
| Kentucky Medical Services Foundation | Lexington, KY | $112K |
| Kentucky Medical Services Foundation | Lexington, KY | $74K |
| Kentucky Medical Services Foundation | Lexington, KY | $36K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.