Clinic
Elizabethtown Rheumatology PSC
Elizabethtown Rheumatology PSC was paid $477K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.
33Billing provider infoELIZABETHTOWN RHEUMATOLOGY PSC
ELIZABETHTOWN, KY 42701
ELIZABETHTOWN, KY 42701
33aNPI1619148012assigned 03/13/2008
33bProvider typeMedical Specialty Clinic/Center
28Total paid$477K
24GClaims9,223
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Kentucky
Rank by total paid#2 of 7
Median peer was paid$183K
This provider vs. median2.6×
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 | 1,943 | $80K | |
| 2019 | 1,514 | $79K | |
| 2020 | 1,369 | $76K | |
| 2021 | 1,214 | $75K | |
| 2022 | 1,028 | $58K | |
| 2023 | 1,134 | $61K | |
| 2024incomplete | 1,021 | $48K |
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 | 69% | 6,743 | 6,224 | $331K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 20% | 820 | 782 | $96K |
| 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 | 7.6% | 436 | 402 | $36K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 246 | 224 | $7K |
| 20610 | 1.1% | 171 | 150 | $5K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 263 | 234 | $1K |
| 20611 | <1% | 32 | 13 | $450.55 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 427 | 319 | $53.25 |
| J1020 | Injection, methylprednisolone acetate, 20 mg | <1% | 14 | 12 | $29.89 |
| 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% | 71 | 67 | $21.96 |
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 officialSAJID, SALEEM (OWNER)