Physician
Kentucky Medical Services Foundation
Kentucky Medical Services Foundation was paid $1.17M by Medicaid between Jan 2018 and Jun 2021, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoKENTUCKY MEDICAL SERVICES FOUNDATION
LEXINGTON, KY 40536
LEXINGTON, KY 40536
33aNPI1457569071assigned 05/18/2007
33bProvider typeFamily Medicine Physician
28Total paid$1.17M
24GClaims28,975
24DCodes billed21
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#64 of 352
Median peer was paid$90K
This provider vs. median13×
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 | 8,586 | $343K | |
| 2019 | 9,764 | $357K | |
| 2020 | 7,321 | $317K | |
| 2021 | 3,304 | $154K |
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 | 68% | 16,273 | 14,916 | $791K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 7,087 | 6,590 | $234K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.8% | 2,311 | 1,439 | $79K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.5% | 676 | 215 | $18K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 633 | 601 | $8K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 204 | 181 | $8K |
| 90686 | <1% | 569 | 543 | $8K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 133 | 102 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 100 | 93 | $6K |
| 90632 | <1% | 64 | 62 | $3K | |
| 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 | <1% | 26 | 25 | $2K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 52 | 51 | $2K |
9 more codes
| 96127 | <1% | 609 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $783.64 |
| 99406 | <1% | 107 | $647.41 | |
| 99221 | <1% | 13 | $519.18 | |
| 99442 | <1% | 16 | $255.96 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 27 | $229.28 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 16 | $118.15 |
| 90656 | <1% | 15 | $102.66 | |
| 96160 | <1% | 31 | $66.17 |
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 (EVPHO)
| Provider | Location | Paid |
|---|---|---|
| Kentucky Medical Services Foundation | Lexington, KY | $12.50M |
| Kentucky Medical Services Foundation | Lexington, KY | $3.37M |
| Kentucky Medical Services Foundation | Lexington, KY | $3.26M |
| 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.