Physician
Kings Daughters Medical Specialties INC
Kings Daughters Medical Specialties INC was paid $1.46M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoKINGS DAUGHTERS MEDICAL SPECIALTIES INC
ASHLAND, KY 41101
ASHLAND, KY 41101
33aNPI1558653618assigned 05/09/2011
33bProvider typeInfectious Disease Physician
28Total paid$1.46M
24GClaims33,667
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Infectious Disease Physician providers in Kentucky
Rank by total paid#1 of 15
Median peer was paid$130K
This provider vs. median11×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MARKS, SARA controls 20+ related entities in our dataset. Read more
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 | 3,358 | $139K | |
| 2019 | 3,322 | $137K | |
| 2020 | 3,803 | $130K | |
| 2021 | 5,508 | $204K | |
| 2022 | 6,086 | $283K | |
| 2023 | 6,316 | $328K | |
| 2024incomplete | 5,274 | $238K |
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 | 27% | 10,953 | 10,199 | $392K |
| 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 | 19% | 3,977 | 3,722 | $280K |
| 95886 | 8.6% | 2,630 | 2,477 | $126K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.1% | 5,091 | 4,675 | $118K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 7.9% | 185 | 169 | $115K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.1% | 1,352 | 1,264 | $75K |
| 99223 | Prolong inpt eval add15 m | 3.9% | 994 | 918 | $58K |
| 99205 | Prolong outpt/office vis | 3.9% | 634 | 603 | $57K |
| 95816 | 2.7% | 1,440 | 1,360 | $40K | |
| 64615 | 2.4% | 433 | 408 | $36K | |
| 95911 | 2.1% | 404 | 381 | $31K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.1% | 1,579 | 970 | $31K |
15 more codes
| 99441 | 1.7% | 1,368 | $24K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 313 | $14K |
| 95909 | <1% | 331 | $14K | |
| 99442 | <1% | 363 | $12K | |
| 99443 | <1% | 196 | $11K | |
| 95885 | <1% | 700 | $11K | |
| 99407 | <1% | 307 | $5K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 83 | $4K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 80 | $3K |
| 99406 | <1% | 157 | $964.16 | |
| 95910 | <1% | 12 | $638.26 | |
| 95819 | <1% | 13 | $338.30 | |
| 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 | <1% | 43 | $287.88 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16 | $265.58 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 13 | $6.14 |
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 officialMARKS, SARA (CEO/PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.