Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BELLEFONTE PHYSICIAN SERVICES, INC

NPI: 1538324454 · IRONTON, OH 45638 · Clinical Social Worker · NPI assigned 07/21/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CONNETT, TROY controls 20+ related entities in our dataset. Read more

$375K
Total Medicaid Paid
24,250
Total Claims
21,712
Beneficiaries
34
Codes Billed
2018-01
First Month
2020-04
Last Month

Provider Details

Authorized OfficialCONNETT, TROY (DIRECTOR OF FINANCE)
NPI Enumeration Date07/21/2008

Related Entities

Other providers sharing the same authorized official: CONNETT, TROY

ProviderCityStateTotal Paid
BELLEFONTE PHYSICIAN SERVICES, INC. GRAYSON KY $1.42M
BELLEFONTE PHYSICIAN SERVICES, INC IRONTON OH $763K
BELLEFONTE PHYSICIAN SERVICES, INC. ASHLAND KY $628K
BELLEFONTE PHYSICIAN SERVICES, INC. ASHLAND KY $399K
BELLEFONTE PHYSICIAN SERVICES, INC. ASHLAND KY $389K
BELLEFONTE PHYSICIAN SERVICES, INC. RUSSELL KY $330K
OUR LADY OF BELLEFONTE HOSPITAL INC. ASHLAND KY $322K
OUR LADY OF BELLEFONTE HOSPITAL INC. ASHLAND KY $287K
BELLEFONTE PHYSICIAN SERVICES, INC. ASHLAND KY $250K
BELLEFONTE PHYSICIAN SERVICES, INC. FLATWOODS KY $209K
BELLEFONTE PHYSICIAN SERVICES, INC ASHLAND KY $204K
BELLEFONTE PHYSICIAN SERVICES, INC. ASHLAND KY $201K
BELLEFONTE PHYSICIAN SERVICES, INC. ASHLAND KY $184K
BELLEFONTE PHYSICIAN SERVICES, INC. WHEELERSBURG OH $153K
BELLEFONTE PHYSICIAN SERVICES, INC. SOUTH SHORE KY $129K
BELLEFONTE PHYSICIAN SERVICES, INC. ASHLAND KY $102K
BELLEFONTE PHYSICIAN SERVICES, INC. GREENUP KY $98K
BELLEFONTE PHYSICIAN SERVICES, INC ASHLAND KY $81K
BELLEFONTE PHYSICIAN SERVICES, INC. ASHLAND KY $78K
BELLEFONTE PHYSICIAN SERVICES, INC. ASHLAND KY $65K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,294 $172K
2019 11,724 $164K
2020 2,232 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,477 5,956 $281K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,672 2,338 $85K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 378 340 $3K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 307 296 $3K
90688 128 120 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 34 34 $660.86
99441 38 35 $415.63
83036 Hemoglobin; glycosylated (A1C) 59 59 $344.16
90656 16 15 $153.85
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 26 26 $46.76
J1030 Injection, methylprednisolone acetate, 40 mg 13 13 $40.88
81003 28 25 $39.36
J1885 Injection, ketorolac tromethamine, per 15 mg 14 12 $12.10
1090F 524 476 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,460 1,273 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,241 1,108 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,304 2,002 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 266 247 $0.00
3046F 137 128 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 45 43 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 457 405 $0.00
2022F 423 388 $0.00
G8400 Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given 90 87 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 827 741 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 294 267 $0.00
3017F 1,661 1,439 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,577 1,389 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 491 444 $0.00
1101F 620 560 $0.00
G8432 Depression screening not documented, reason not given 1,183 1,015 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 43 38 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 73 70 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 293 279 $0.00
G0008 Administration of influenza virus vaccine 51 44 $0.00