Urology Partners of Western Ky, PSC

Urology Partners of Western Ky, PSC was paid $193K by Medicaid between Jul 2020 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.

33Billing provider infoUROLOGY PARTNERS OF WESTERN KY, PSC
MADISONVILLE, KY 42431

33aNPI1548355688assigned 10/04/2006

33bProvider typeUrology Physician

28Total paid$193K

24GClaims7,377

24DCodes billed9

24AFirst – last monthJul 2020 – Nov 2024

Compared with peers

Next to other Urology Physician providers in Kentucky

Rank by total paid#2 of 16

Median peer was paid$1K

This provider vs. median152×

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
2020	203	$858.63
2021	1,969	$50K
2022	2,230	$63K
2023	1,863	$49K
2024incomplete	1,112	$31K

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	68%	5,092	4,294	$131K
52000		12%	482	425	$24K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	12%	577	541	$23K
52332		2.8%	43	39	$5K
99231	Subsequent hospital care, per day, straightforward or low complexity	2.5%	461	129	$5K
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	1.3%	59	55	$3K
52310		1.1%	16	14	$2K
99221		<1%	13	12	$511.43
81003		<1%	634	583	$279.39

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 officialFELLOWS, JAMES (PRESIDENT)