Physician
Ken Homolya MD LLC
Ken Homolya MD LLC was paid $1.57M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoKEN HOMOLYA MD LLC
HENDERSONVILLE, TN 37075
HENDERSONVILLE, TN 37075
33aNPI1619266814assigned 03/29/2011
33bProvider typePain Medicine Physician
28Total paid$1.57M
24GClaims98,715
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pain Medicine Physician providers in Tennessee
Rank by total paid#1 of 13
Median peer was paid$31K
This provider vs. median50×
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 | 17,126 | $334K | |
| 2019 | 17,572 | $327K | |
| 2020 | 15,828 | $259K | |
| 2021 | 14,285 | $216K | |
| 2022 | 13,378 | $155K | |
| 2023 | 11,056 | $151K | |
| 2024incomplete | 9,470 | $133K |
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 | 68% | 56,440 | 45,901 | $1.08M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 8.2% | 13,520 | 11,491 | $130K |
| 64483 | 6.9% | 2,188 | 1,516 | $108K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 3,354 | 2,352 | $48K |
| 64635 | 2.2% | 526 | 293 | $35K | |
| 64636 | 1.7% | 836 | 293 | $27K | |
| 64493 | 1.7% | 595 | 356 | $26K | |
| 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 | 1.5% | 435 | 389 | $23K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 1.3% | 5,708 | 3,597 | $20K |
| 80305 | 1.2% | 2,730 | 2,319 | $19K | |
| L0637 | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 67 | 50 | $12K |
| 64494 | <1% | 594 | 355 | $10K |
31 more codes
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 822 | $7K |
| 99152 | <1% | 588 | $5K | |
| 62321 | <1% | 98 | $5K | |
| 64495 | <1% | 307 | $4K | |
| 99490 | Ccm add 20min | <1% | 1,579 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 341 | $2K |
| 72275 | <1% | 119 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 35 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 209 | $2K |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 468 | $1K |
| 96103 | <1% | 136 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 40 | $1K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 276 | $967.66 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 4,915 | $583.56 |
| 77002 | <1% | 42 | $500.28 | |
| 99442 | <1% | 51 | $310.23 | |
| 81025 | <1% | 121 | $304.90 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 270 | $282.24 |
| 20610 | <1% | 24 | $275.01 | |
| 96160 | <1% | 36 | $110.38 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 587 | $70.43 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 216 | $45.61 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 198 | $8.15 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 16 | $0.00 |
| 1111F | 0% | 35 | $0.00 | |
| 1036F | 0% | 29 | $0.00 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 14 | $0.00 |
| 99401 | 0% | 51 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 51 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 13 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 35 | $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 officialHOMOLYA, KENNETH (OWNER / PHYSICIAN)