Medicaid Provider Spending

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

KEN HOMOLYA MD LLC

NPI: 1619266814 · HENDERSONVILLE, TN 37075 · Pain Medicine Physician · NPI assigned 03/29/2011

$1.57M
Total Medicaid Paid
98,715
Total Claims
77,424
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOMOLYA, KENNETH (OWNER / PHYSICIAN)
NPI Enumeration Date03/29/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 9,470 $133K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 56,440 45,901 $1.08M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 13,520 11,491 $130K
64483 2,188 1,516 $108K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,354 2,352 $48K
64635 526 293 $35K
64636 836 293 $27K
64493 595 356 $26K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 435 389 $23K
J1040 Injection, methylprednisolone acetate, 80 mg 5,708 3,597 $20K
80305 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 67 50 $12K
64494 594 355 $10K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 822 717 $7K
99152 588 410 $5K
62321 98 64 $5K
64495 307 171 $4K
99490 Ccm add 20min 1,579 1,441 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 341 275 $2K
72275 119 69 $2K
99205 Prolong outpt/office vis 35 29 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 209 94 $2K
J1010 Injection, methylprednisolone acetate, 1 mg 468 342 $1K
96103 136 117 $1K
99215 Prolong outpt/office vis 40 39 $1K
J1030 Injection, methylprednisolone acetate, 40 mg 276 194 $967.66
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 4,915 3,159 $583.56
77002 42 27 $500.28
99442 51 36 $310.23
81025 121 106 $304.90
J1885 Injection, ketorolac tromethamine, per 15 mg 270 230 $282.24
20610 24 15 $275.01
96160 36 27 $110.38
J2250 Injection, midazolam hydrochloride, per 1 mg 587 411 $70.43
J3010 Injection, fentanyl citrate, 0.1 mg 216 165 $45.61
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 198 148 $8.15
G8510 Screening for depression is documented as negative, a follow-up plan is not required 16 16 $0.00
1111F 35 32 $0.00
1036F 29 26 $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) 14 13 $0.00
99401 51 49 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 51 46 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 13 12 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 35 32 $0.00