Medicaid Provider Spending

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

KINGS DAUGHTERS MEDICAL SPECIALTIES INC

NPI: 1558653618 · ASHLAND, KY 41101 · Infectious Disease Physician · NPI assigned 05/09/2011

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

Authorized official MARKS, SARA controls 20+ related entities in our dataset. Read more

$1.46M
Total Medicaid Paid
33,667
Total Claims
30,865
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARKS, SARA (CEO/PRESIDENT)
NPI Enumeration Date05/09/2011

Related Entities

Other providers sharing the same authorized official: MARKS, SARA

ProviderCityStateTotal Paid
ASHLAND HOSPITAL CORPORATION ASHLAND KY $222.76M
KINGS DAUGHTERS MEDICAL SPECIALTIES INC. ASHLAND KY $6.34M
ASHLAND HOSPITAL CORPORATION ASHLAND KY $1.59M
ASHLAND HOSPITAL CORPORATION JACKSON OH $722K
KING'S DAUGHTERS MEDICAL SPECIALTIES, INC. ASHLAND KY $509K
KINGS DAUGHTERS MEDCIAL SPECIALTIES INC ASHLAND KY $383K
KING'S DAUGHTERS MEDICAL SPECIALTIES, INC. ASHLAND KY $297K
ASHLAND HOSPITAL CORPORATION ASHLAND KY $296K
KINGS DAUGHTERS MEDICAL SPECIALTIES INC., PORTSMOUTH OH $169K
KINGS DAUGHTERS MEDICAL SPECIALTIES INC PRESTONSBURG KY $127K
KINGS DAUGHTERS MEDICAL SPECIALTIES INC., ASHLAND KY $108K
KINGS DAUGHTERS MEDICAL SPECIALTIES INC ASHLAND KY $101K
ASHLAND HOSPITAL CORPORATION IRONTON OH $69K
ASHLAND HOSPITAL CORPORATION ASHLAND KY $53K
KINGS DAUGHTERS MEDICAL SPECIALTIES INC ASHLAND KY $41K
ASHLAND HOSPITAL CORPORATION PAINTSVILLE KY $11K
KING'S DAUGHTERS MEDICAL SPECIALTIES, INC. PORTSMOUTH OH $9K
ASHLAND HOSPITAL COPORATION ASHLAND KY $7K
ASHALND HOSPITAL CORPORATION ASHLAND KY $5K
ASHLAND HOSPITAL COPORATION ASHLAND KY $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 5,274 $238K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,953 10,199 $392K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,977 3,722 $280K
95886 2,630 2,477 $126K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,091 4,675 $118K
J0585 Injection, onabotulinumtoxina, 1 unit 185 169 $115K
99215 Prolong outpt/office vis 1,352 1,264 $75K
99223 Prolong inpt eval add15 m 994 918 $58K
99205 Prolong outpt/office vis 634 603 $57K
95816 1,440 1,360 $40K
64615 433 408 $36K
95911 404 381 $31K
99232 Subsequent hospital care, per day, moderate complexity 1,579 970 $31K
99441 1,368 1,305 $24K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 313 280 $14K
95909 331 302 $14K
99442 363 331 $12K
99443 196 177 $11K
95885 700 658 $11K
99407 307 293 $5K
99222 Initial hospital care, per day, moderate complexity 83 79 $4K
99233 Prolong inpt eval add15 m 80 55 $3K
99406 157 150 $964.16
95910 12 12 $638.26
95819 13 12 $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 43 39 $287.88
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16 14 $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) 13 12 $6.14