Physician
Bowling Green Internal Medicine and
Bowling Green Internal Medicine and was paid $2.45M by Medicaid between Jan 2018 and Feb 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoBOWLING GREEN INTERNAL MEDICINE AND
BOWLING GREEN, KY 42101
BOWLING GREEN, KY 42101
33aNPI1447295852assigned 06/19/2006
33bProvider typePediatrics Physician
28Total paid$2.45M
24GClaims101,823
24DCodes billed51
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Pediatrics Physician providers in Kentucky
Rank by total paid#12 of 156
Median peer was paid$41K
This provider vs. median59×
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 | 17,491 | $291K | |
| 2019 | 13,813 | $340K | |
| 2020 | 15,050 | $371K | |
| 2021 | 18,321 | $455K | |
| 2022 | 19,008 | $471K | |
| 2023 | 15,612 | $441K | |
| 2024incomplete | 2,528 | $77K |
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 | 47% | 38,426 | 31,795 | $1.15M |
| 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 | 16% | 8,284 | 7,001 | $388K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 10,405 | 9,306 | $294K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.7% | 2,636 | 2,345 | $164K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.7% | 2,333 | 1,686 | $115K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.4% | 1,649 | 1,518 | $108K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 2,189 | 1,989 | $46K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 4,147 | 3,788 | $42K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 1,918 | 1,694 | $34K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 376 | 357 | $28K |
| 90461 | <1% | 709 | 584 | $16K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,106 | 1,006 | $12K |
39 more codes
| 90670 | <1% | 989 | $10K | |
| 90686 | <1% | 3,359 | $10K | |
| 87807 | <1% | 546 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 56 | $5K |
| 90633 | <1% | 516 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 80 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 51 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 202 | $3K |
| 87428 | <1% | 64 | $1K | |
| 99460 | <1% | 34 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 75 | $1K |
| 99383 | <1% | 23 | $863.04 | |
| 90716 | <1% | 95 | $640.08 | |
| 90723 | <1% | 260 | $636.48 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 35 | $616.08 |
| 90647 | <1% | 256 | $524.77 | |
| 90707 | <1% | 65 | $498.69 | |
| 0002A | <1% | 18 | $480.00 | |
| 99441 | <1% | 15 | $330.00 | |
| 99462 | <1% | 12 | $295.56 | |
| 90651 | <1% | 29 | $213.36 | |
| 99177 | <1% | 27 | $166.04 | |
| 97803 | <1% | 8,113 | $146.84 | |
| 90715 | <1% | 16 | $106.92 | |
| 3725F | <1% | 384 | $42.63 | |
| 3008F | <1% | 3,026 | $36.24 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 5,808 | $11.38 |
| 81003 | <1% | 13 | $6.76 | |
| 3078F | <1% | 268 | $0.45 | |
| 1111F | <1% | 196 | $0.36 | |
| 3074F | <1% | 226 | $0.33 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,154 | $0.00 |
| 90734 | 0% | 14 | $0.00 | |
| 90681 | 0% | 27 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 68 | $0.00 |
| 1036F | 0% | 1,091 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 372 | $0.00 |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 33 | $0.00 |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 29 | $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 officialKNIERY, PAUL (PRESIDENT)