NP / PA
Stone Family Practice PLLC
Stone Family Practice PLLC was paid $85K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.
33Billing provider infoSTONE FAMILY PRACTICE PLLC
MAYFIELD, KY 42066
MAYFIELD, KY 42066
33aNPI1609217868assigned 07/16/2013
33bProvider typeFamily Nurse Practitioner
28Total paid$85K
24GClaims4,545
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Kentucky
Rank by total paid#133 of 424
Median peer was paid$19K
This provider vs. median4.5×
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 | 357 | $8K | |
| 2019 | 757 | $10K | |
| 2020 | 524 | $8K | |
| 2021 | 699 | $11K | |
| 2022 | 1,133 | $22K | |
| 2023 | 737 | $17K | |
| 2024incomplete | 338 | $10K |
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 | 79% | 3,405 | 2,765 | $68K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.7% | 307 | 272 | $7K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.6% | 528 | 118 | $4K |
| 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 | 3.5% | 121 | 108 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 33 | 27 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.5% | 35 | 29 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 64 | 30 | $973.17 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 12 | 12 | $260.17 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | 12 | $256.80 |
| 99442 | <1% | 15 | 12 | $194.13 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 13 | 12 | $180.21 |
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 officialSTONE, RICHARD (OWNER/PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Stone, Goldenberg & Dharan LLP | Bloomfield, CT | $7K |
| Union Chiropractic, INC. | Sudbury, MA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.