Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Scottsville › NPI 1619517893
Physician

Commonwealth Health Corporation, INC.

Commonwealth Health Corporation, INC. was paid $403K by Medicaid between Oct 2020 and Dec 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoCOMMONWEALTH HEALTH CORPORATION, INC.
SCOTTSVILLE, KY 42164
33aNPI1619517893assigned 01/15/2020
28Total paid$403K
24GClaims13,800
24DCodes billed24
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Kentucky

Rank by total paid#103 of 352
Median peer was paid$90K
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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official LAWLESS, MICHELE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2020106$1K
20211,653$49K
20223,500$99K
20234,565$131K
2024incomplete3,976$123K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36% 5,667 4,791 $146K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 20% 1,130 932 $80K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 18% 2,670 2,287 $73K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 17% 2,040 1,703 $70K
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 2.0% 185 174 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.9% 643 541 $8K
90734 1.0% 44 39 $4K
99442 <1% 110 104 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 271 218 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 105 92 $2K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 100 90 $2K
99441 <1% 41 30 $859.44
12 more codes
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 17 $822.62
90715 <1% 23 $698.30
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 12 $597.61
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 31 $375.75
90461 <1% 23 $201.86
3008F <1% 333 $0.39
1125F <1% 74 $0.23
3074F <1% 43 $0.09
1159F <1% 109 $0.03
1160F <1% 93 $0.03
3078F <1% 16 $0.01
1036F 0% 20 $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 officialLAWLESS, MICHELE (EXEC. VICE PRESIDENT)
Same official

Other billing entities under LAWLESS, MICHELE

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.