NP / PA
Spine and Brain Neurosurgical Care
Spine and Brain Neurosurgical Care was paid $1K by Medicaid between Jul 2018 and Apr 2022, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoSPINE AND BRAIN NEUROSURGICAL CARE
LEXINGTON, KY 40517
LEXINGTON, KY 40517
33aNPI1669805677assigned 08/13/2013
33bProvider typeNurse Practitioner
28Total paid$1K
24GClaims44
24DCodes billed2
24AFirst – last monthJul 2018 – Apr 2022
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#237 of 260
Median peer was paid$89K
This provider vs. median0.0×
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 | 16 | $211.85 | |
| 2019 | 14 | $261.69 | |
| 2022 | 14 | $608.59 |
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 | 56% | 14 | 14 | $608.59 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 30 | 24 | $473.54 |
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 officialGILBERT, JOHN (OWNER/PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Innovative Hospital Care, LLC | Fort Wayne, IN | $79K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.