Physician
Medical Specialists of Kentuckiana PLLC
Medical Specialists of Kentuckiana PLLC was paid $385K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoMEDICAL SPECIALISTS OF KENTUCKIANA PLLC
LOUISVILLE, KY 40207
LOUISVILLE, KY 40207
33aNPI1497776397assigned 07/23/2006
33bProvider typeInternal Medicine Physician
28Total paid$385K
24GClaims24,410
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Kentucky
Rank by total paid#67 of 231
Median peer was paid$77K
This provider vs. median5.0×
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 | 3,776 | $31K | |
| 2019 | 3,024 | $22K | |
| 2020 | 1,851 | $12K | |
| 2021 | 2,403 | $12K | |
| 2022 | 5,874 | $118K | |
| 2023 | 4,599 | $113K | |
| 2024incomplete | 2,883 | $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 | 55% | 8,797 | 7,336 | $211K |
| J1170 | Injection, hydromorphone, up to 4 mg | 12% | 1,457 | 891 | $46K |
| 62370 | 11% | 2,479 | 1,894 | $44K | |
| 76942 | 7.5% | 2,060 | 1,574 | $29K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.1% | 5,004 | 3,686 | $20K |
| 80305 | 2.1% | 2,721 | 2,318 | $8K | |
| 64635 | 1.9% | 26 | 24 | $7K | |
| 64636 | 1.0% | 36 | 24 | $4K | |
| 99152 | <1% | 431 | 366 | $4K | |
| 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% | 51 | 49 | $3K |
| J0735 | Injection, clonidine hydrochloride, 1 mg | <1% | 251 | 179 | $3K |
| 62368 | <1% | 384 | 234 | $2K |
8 more codes
| 99442 | <1% | 43 | $2K | |
| 64493 | <1% | 13 | $1K | |
| 20610 | <1% | 14 | $305.65 | |
| 77003 | <1% | 356 | $209.16 | |
| 64494 | <1% | 12 | $185.22 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 40 | $124.70 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 141 | $43.52 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 94 | $22.53 |
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 officialNADAR, VANI (OWNER)