Medicaid Provider Spending

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

BELLEFONTE PHYSICIAN SERVICES, INC.

NPI: 1659526960 · ASHLAND, KY 41101 · Pediatrics Physician · NPI assigned 12/01/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CONNETT, TROY controls 20+ related entities in our dataset. Read more

$399K
Total Medicaid Paid
15,214
Total Claims
12,689
Beneficiaries
44
Codes Billed
2018-01
First Month
2020-05
Last Month

Provider Details

Authorized OfficialCONNETT, TROY (DIRECTOR OF FINANCE)
NPI Enumeration Date12/01/2008

Related Entities

Other providers sharing the same authorized official: CONNETT, TROY

ProviderCityStateTotal Paid
BELLEFONTE PHYSICIAN SERVICES, INC. GRAYSON KY $1.42M
BELLEFONTE PHYSICIAN SERVICES, INC IRONTON OH $763K
BELLEFONTE PHYSICIAN SERVICES, INC. ASHLAND KY $628K
BELLEFONTE PHYSICIAN SERVICES, INC. ASHLAND KY $389K
BELLEFONTE PHYSICIAN SERVICES, INC IRONTON OH $375K
BELLEFONTE PHYSICIAN SERVICES, INC. RUSSELL KY $330K
OUR LADY OF BELLEFONTE HOSPITAL INC. ASHLAND KY $322K
OUR LADY OF BELLEFONTE HOSPITAL INC. ASHLAND KY $287K
BELLEFONTE PHYSICIAN SERVICES, INC. ASHLAND KY $250K
BELLEFONTE PHYSICIAN SERVICES, INC. FLATWOODS KY $209K
BELLEFONTE PHYSICIAN SERVICES, INC ASHLAND KY $204K
BELLEFONTE PHYSICIAN SERVICES, INC. ASHLAND KY $201K
BELLEFONTE PHYSICIAN SERVICES, INC. ASHLAND KY $184K
BELLEFONTE PHYSICIAN SERVICES, INC. WHEELERSBURG OH $153K
BELLEFONTE PHYSICIAN SERVICES, INC. SOUTH SHORE KY $129K
BELLEFONTE PHYSICIAN SERVICES, INC. ASHLAND KY $102K
BELLEFONTE PHYSICIAN SERVICES, INC. GREENUP KY $98K
BELLEFONTE PHYSICIAN SERVICES, INC ASHLAND KY $81K
BELLEFONTE PHYSICIAN SERVICES, INC. ASHLAND KY $78K
BELLEFONTE PHYSICIAN SERVICES, INC. ASHLAND KY $65K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,348 $212K
2019 5,496 $142K
2020 1,370 $44K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,466 4,732 $220K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,632 2,282 $86K
99335 417 362 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,070 885 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 638 324 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 71 71 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 180 178 $6K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 68 64 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 73 72 $5K
90632 130 93 $4K
99308 Subsequent nursing facility care, per day, straightforward 146 129 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 309 290 $4K
90688 327 292 $3K
99326 41 36 $3K
90670 68 65 $2K
99336 31 29 $2K
99325 38 38 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 161 127 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 17 17 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 18 17 $1K
99490 Ccm add 20min 124 61 $1K
90651 13 13 $818.10
83036 Hemoglobin; glycosylated (A1C) 88 86 $782.18
90723 42 41 $721.18
90633 88 79 $646.50
87807 45 42 $555.79
90648 68 63 $502.05
J1100 Injection, dexamethasone sodium phosphate, 1 mg 116 102 $424.15
99442 24 18 $328.99
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 31 28 $312.72
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 69 37 $297.59
90681 17 17 $285.70
90685 18 18 $205.64
82962 78 62 $199.68
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 17 15 $2.46
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,115 855 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 185 144 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 228 176 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 29 26 $0.00
90686 15 15 $0.00
G8432 Depression screening not documented, reason not given 291 212 $0.00
3017F 232 182 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 284 221 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 96 73 $0.00