Physician
Bellefonte Physician Services, INC.
Bellefonte Physician Services, INC. was paid $399K by Medicaid between Jan 2018 and May 2020, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoBELLEFONTE PHYSICIAN SERVICES, INC.
ASHLAND, KY 41101
ASHLAND, KY 41101
33aNPI1659526960assigned 12/01/2008
33bProvider typePediatrics Physician
28Total paid$399K
24GClaims15,214
24DCodes billed44
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other Pediatrics Physician providers in Kentucky
Rank by total paid#37 of 156
Median peer was paid$41K
This provider vs. median9.7×
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 CONNETT, TROY controls 20+ related entities in our dataset. Read more
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 | 8,348 | $212K | |
| 2019 | 5,496 | $142K | |
| 2020 | 1,370 | $44K |
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 | 55% | 5,466 | 4,732 | $220K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 2,632 | 2,282 | $86K |
| 99335 | 4.4% | 417 | 362 | $18K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.5% | 1,070 | 885 | $14K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 638 | 324 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.4% | 71 | 71 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.4% | 180 | 178 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 68 | 64 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 73 | 72 | $5K |
| 90632 | 1.0% | 130 | 93 | $4K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 146 | 129 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 309 | 290 | $4K |
32 more codes
| 90688 | <1% | 327 | $3K | |
| 99326 | <1% | 41 | $3K | |
| 90670 | <1% | 68 | $2K | |
| 99336 | <1% | 31 | $2K | |
| 99325 | <1% | 38 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 161 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 17 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 18 | $1K |
| 99490 | Ccm add 20min | <1% | 124 | $1K |
| 90651 | <1% | 13 | $818.10 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 88 | $782.18 |
| 90723 | <1% | 42 | $721.18 | |
| 90633 | <1% | 88 | $646.50 | |
| 87807 | <1% | 45 | $555.79 | |
| 90648 | <1% | 68 | $502.05 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 116 | $424.15 |
| 99442 | <1% | 24 | $328.99 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 31 | $312.72 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 69 | $297.59 |
| 90681 | <1% | 17 | $285.70 | |
| 90685 | <1% | 18 | $205.64 | |
| 82962 | <1% | 78 | $199.68 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 17 | $2.46 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,115 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 185 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 228 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 29 | $0.00 |
| 90686 | 0% | 15 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 291 | $0.00 |
| 3017F | 0% | 232 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 284 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 96 | $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 officialCONNETT, TROY (DIRECTOR OF FINANCE)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.