Physician
Kentucky Medical Services Foundation
Kentucky Medical Services Foundation was paid $3.26M by Medicaid between Jan 2018 and Jun 2021, across 67 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoKENTUCKY MEDICAL SERVICES FOUNDATION
LEXINGTON, KY 40536
LEXINGTON, KY 40536
33aNPI1558579185assigned 05/18/2007
33bProvider typePediatrics Physician
28Total paid$3.26M
24GClaims100,145
24DCodes billed67
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Pediatrics Physician providers in Kentucky
Rank by total paid#8 of 156
Median peer was paid$41K
This provider vs. median79×
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 | 29,118 | $917K | |
| 2019 | 32,051 | $996K | |
| 2020 | 30,667 | $1.01M | |
| 2021 | 8,309 | $333K |
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 | 31% | 27,674 | 25,493 | $1.02M |
| 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 | 15% | 9,301 | 8,294 | $490K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.1% | 10,297 | 9,633 | $297K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.6% | 5,196 | 4,644 | $281K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.5% | 3,964 | 3,711 | $243K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.2% | 6,425 | 5,963 | $170K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.3% | 3,351 | 2,203 | $140K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 1,428 | 1,320 | $86K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.5% | 1,149 | 988 | $80K |
| 99460 | 1.8% | 1,499 | 1,364 | $59K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.7% | 1,214 | 1,096 | $54K |
| 99051 | 1.1% | 4,855 | 4,633 | $36K |
55 more codes
| D1120 | Dental cleaning, child | <1% | 672 | $31K |
| 99173 | <1% | 609 | $28K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,164 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 776 | $20K |
| 90837 | Psychotherapy session, about an hour | <1% | 478 | $17K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 655 | $17K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 810 | $14K |
| 99245 | <1% | 165 | $13K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 186 | $12K |
| D1206 | Topical application of fluoride varnish | <1% | 757 | $11K |
| 96127 | <1% | 2,448 | $10K | |
| 90461 | <1% | 419 | $10K | |
| 92551 | <1% | 993 | $10K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 668 | $8K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 106 | $8K |
| 99462 | <1% | 378 | $8K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 192 | $6K |
| D0330 | Panoramic radiographic image | <1% | 141 | $5K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 136 | $5K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 50 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 211 | $4K |
| 90670 | <1% | 1,846 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 273 | $3K |
| D1110 | Prophylaxis - adult | <1% | 61 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 88 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 62 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 164 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 38 | $2K |
| 90686 | <1% | 5,383 | $2K | |
| 99174 | <1% | 91 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 120 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 37 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 19 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 17 | $972.40 |
| 96160 | <1% | 461 | $968.61 | |
| 99417 | Prolong home eval add 15m | <1% | 31 | $926.40 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 104 | $890.58 |
| D1351 | Sealant - per tooth | <1% | 37 | $547.96 |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $400.95 |
| 90723 | <1% | 264 | $271.41 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $252.60 |
| 90681 | <1% | 215 | $218.49 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 12 | $183.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 28 | $172.69 |
| 81025 | <1% | 31 | $159.29 | |
| 90651 | <1% | 80 | $102.60 | |
| 90647 | <1% | 386 | $92.24 | |
| 90734 | <1% | 83 | $88.06 | |
| 90648 | <1% | 226 | $52.42 | |
| 90633 | <1% | 506 | $29.55 | |
| 90685 | 0% | 39 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| 90620 | 0% | 12 | $0.00 | |
| 90696 | 0% | 13 | $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 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 | $1.17M |
| 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.