Physician
Consolidated Health Systems INC
Consolidated Health Systems INC was paid $1.06M by Medicaid between Jan 2018 and Jan 2022, across 97 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
33Billing provider infoCONSOLIDATED HEALTH SYSTEMS INC
PRESTONSBURG, KY 41653
PRESTONSBURG, KY 41653
33aNPI1558415869assigned 01/23/2007
33bProvider typeInternal Medicine Physician
28Total paid$1.06M
24GClaims73,646
24DCodes billed97
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other Internal Medicine Physician providers in Kentucky
Rank by total paid#31 of 231
Median peer was paid$77K
This provider vs. median14×
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 | 34,401 | $566K | |
| 2019 | 29,981 | $417K | |
| 2020 | 6,226 | $54K | |
| 2021 | 2,816 | $26K | |
| 2022 | 222 | $1K |
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 | 20% | 5,916 | 4,760 | $215K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 9,598 | 7,428 | $202K |
| 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 | 12% | 1,963 | 1,612 | $131K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.3% | 1,853 | 1,657 | $99K |
| 20610 | 9.0% | 4,174 | 2,590 | $95K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 3.7% | 3,133 | 2,382 | $40K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 3.1% | 1,721 | 1,667 | $33K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.2% | 502 | 476 | $23K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 2.0% | 566 | 514 | $21K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 463 | 320 | $16K |
| 20550 | 1.5% | 984 | 663 | $16K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 1,069 | 837 | $15K |
85 more codes
| 70450 | Computed tomography, head or brain; without contrast material | 1.2% | 724 | $12K |
| 76642 | <1% | 634 | $11K | |
| 77065 | Tomosynthesis, mammo | <1% | 545 | $10K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 632 | $10K |
| 71045 | Radiologic examination, chest; single view | <1% | 3,158 | $10K |
| 20551 | <1% | 505 | $9K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 598 | $9K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,359 | $9K |
| 99205 | Prolong outpt/office vis | <1% | 96 | $8K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 268 | $6K |
| 99223 | Prolong inpt eval add15 m | <1% | 112 | $6K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,218 | $6K |
| 76536 | <1% | 384 | $6K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 331 | $5K |
| 73564 | <1% | 881 | $5K | |
| 73610 | <1% | 645 | $3K | |
| 77066 | Tomosynthesis, mammo | <1% | 94 | $3K |
| 73110 | <1% | 515 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 297 | $2K |
| 73030 | <1% | 517 | $2K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 41 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 71 | $2K |
| 99051 | <1% | 580 | $2K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 53 | $1K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 18 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 292 | $1K |
| 73630 | <1% | 260 | $1K | |
| 73130 | <1% | 223 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 50 | $1K |
| 99406 | <1% | 223 | $1K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 43 | $997.27 |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 27 | $994.88 |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 18 | $987.30 |
| 71250 | <1% | 59 | $971.90 | |
| 90686 | <1% | 112 | $873.05 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 68 | $871.08 |
| 81000 | <1% | 830 | $822.71 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 106 | $814.05 |
| 96127 | <1% | 292 | $620.63 | |
| 51701 | <1% | 16 | $567.34 | |
| 93971 | <1% | 32 | $410.19 | |
| 76775 | <1% | 16 | $214.79 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 229 | $211.30 |
| 99490 | Ccm add 20min | <1% | 99 | $174.13 |
| 74220 | <1% | 12 | $173.78 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 206 | $160.06 |
| 76000 | <1% | 53 | $159.40 | |
| 73562 | <1% | 34 | $157.30 | |
| 73502 | <1% | 18 | $73.62 | |
| 73080 | <1% | 13 | $59.76 | |
| 73090 | <1% | 17 | $55.26 | |
| 93018 | <1% | 43 | $43.31 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 28 | $42.57 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 35 | $27.55 |
| 3045F | <1% | 204 | $20.00 | |
| G9551 | Final reports for imaging studies without an incidentally found lesion noted | 0% | 477 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 556 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 415 | $0.00 |
| 4004F | 0% | 967 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,353 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,702 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 394 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 2,633 | $0.00 |
| 3288F | 0% | 69 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 50 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 14 | $0.00 |
| 3342F | 0% | 18 | $0.00 | |
| 3008F | 0% | 112 | $0.00 | |
| 7025F | 0% | 170 | $0.00 | |
| 3017F | 0% | 575 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,637 | $0.00 |
| G9637 | Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) | 0% | 882 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 310 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,867 | $0.00 |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | 0% | 699 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 2,023 | $0.00 |
| 99024 | 0% | 52 | $0.00 | |
| 3044F | 0% | 201 | $0.00 | |
| J1094 | Injection, dexamethasone acetate, 1 mg | 0% | 39 | $0.00 |
| 1036F | 0% | 1,864 | $0.00 | |
| 3014F | 0% | 93 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 248 | $0.00 |
| G9557 | Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found | 0% | 95 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 40 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 215 | $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 officialDANIEL, MELISSA (QUALITY MEASURES COORDINATOR)
Parent organizationCONSOLIDATED HEALTH SYSTEMS
| Provider | Location | Paid |
|---|---|---|
| Reorganized School Dist 5 | Saint Charles, MO | $51K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.