J Brian Frederick, M.D., PLLC
J Brian Frederick, M.D., PLLC was paid $219K by Medicaid between Jan 2018 and Nov 2021, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.
33Billing provider infoJ BRIAN FREDERICK, M.D., PLLC
ASHLAND, KY 41101
ASHLAND, KY 41101
33aNPI1437356532assigned 07/02/2007
33bProvider typeSpecialist
28Total paid$219K
24GClaims4,398
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Specialist providers in Kentucky
Rank by total paid#27 of 73
Median peer was paid$107K
This provider vs. median2.0×
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 | 1,050 | $70K | |
| 2019 | 895 | $38K | |
| 2020 | 1,127 | $49K | |
| 2021 | 1,326 | $62K |
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 | 67% | 3,702 | 2,697 | $147K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 15% | 41 | 39 | $33K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 5.8% | 197 | 182 | $13K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.8% | 85 | 80 | $6K |
| 59430 | 2.6% | 86 | 82 | $6K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.3% | 58 | 54 | $5K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.0% | 67 | 58 | $4K |
| 59025 | Fetal non-stress test | <1% | 65 | 24 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 37 | 36 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 46 | 42 | $1K |
| 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 | <1% | 14 | 13 | $939.40 |
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 officialFREDERICK, JAMES (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Elite Care Service INC. | Fayetteville, NC | $3.11M |
| Frederick Medical Clinic PSC | West Liberty, KY | $3.00M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.