Physician
Kentucky Mso, LLC
Kentucky Mso, LLC was paid $6.59M by Medicaid between Jan 2018 and Dec 2024, across 131 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoKENTUCKY MSO, LLC
GEORGETOWN, KY 40324
GEORGETOWN, KY 40324
33aNPI1679902340assigned 11/04/2013
33bProvider typeFamily Medicine Physician
28Total paid$6.59M
24GClaims369,881
24DCodes billed131
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#9 of 352
Median peer was paid$90K
This provider vs. median74×
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 BOWMAN, MONICA 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 | 26,727 | $717K | |
| 2019 | 28,867 | $811K | |
| 2020 | 24,448 | $759K | |
| 2021 | 27,359 | $919K | |
| 2022 | 58,647 | $1.05M | |
| 2023 | 125,315 | $1.17M | |
| 2024incomplete | 78,518 | $1.16M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 81,546 | 70,004 | $2.57M |
| 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 | 21% | 30,193 | 26,040 | $1.36M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.1% | 9,357 | 8,926 | $338K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.7% | 4,367 | 4,208 | $308K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.6% | 4,240 | 3,721 | $300K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 3,905 | 3,705 | $236K |
| 90461 | 2.8% | 5,972 | 5,662 | $187K | |
| 87428 | 2.7% | 3,672 | 3,367 | $180K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 2,140 | 2,096 | $150K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 1,793 | 1,658 | $104K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.1% | 777 | 737 | $72K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,970 | 5,421 | $65K |
119 more codes
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 417 | $64K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,315 | $54K |
| 99243 | <1% | 677 | $52K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 563 | $45K |
| 99223 | Prolong inpt eval add15 m | <1% | 548 | $45K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,454 | $44K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,400 | $38K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 256 | $34K |
| 87430 | <1% | 3,112 | $30K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 614 | $27K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,758 | $25K |
| 92557 | <1% | 928 | $23K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 704 | $22K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 105 | $20K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 516 | $18K |
| 27096 | <1% | 72 | $16K | |
| 90677 | <1% | 342 | $16K | |
| 94010 | <1% | 941 | $13K | |
| 43775 | <1% | 19 | $13K | |
| 99406 | <1% | 1,969 | $12K | |
| 90686 | <1% | 1,729 | $10K | |
| 92567 | <1% | 796 | $10K | |
| 20610 | <1% | 261 | $8K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 81 | $8K |
| 90670 | <1% | 2,266 | $7K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 78 | $6K |
| 76942 | <1% | 254 | $4K | |
| 62323 | <1% | 62 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 986 | $4K |
| 99383 | <1% | 48 | $3K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 47 | $3K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 94 | $3K |
| 77002 | <1% | 250 | $3K | |
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | <1% | 93 | $2K |
| 92579 | <1% | 141 | $2K | |
| 87807 | <1% | 250 | $2K | |
| 92556 | <1% | 143 | $2K | |
| 20553 | <1% | 80 | $2K | |
| 90837 | Psychotherapy session, about an hour | <1% | 30 | $2K |
| 94727 | <1% | 253 | $2K | |
| 95117 | <1% | 175 | $2K | |
| 81002 | <1% | 4,029 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 15 | $1K |
| 87400 | <1% | 219 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 56 | $1K |
| 94729 | <1% | 248 | $1K | |
| 94060 | <1% | 85 | $1K | |
| 90685 | <1% | 521 | $1K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 30 | $1K |
| 90710 | <1% | 459 | $1K | |
| 94070 | <1% | 53 | $1K | |
| 0001A | <1% | 25 | $1K | |
| 90680 | <1% | 925 | $1K | |
| 90674 | <1% | 69 | $951.67 | |
| 90651 | <1% | 178 | $835.15 | |
| 80305 | <1% | 161 | $796.28 | |
| 99382 | <1% | 14 | $766.86 | |
| 83655 | <1% | 54 | $754.29 | |
| 90633 | <1% | 1,136 | $694.55 | |
| 90698 | <1% | 1,216 | $641.17 | |
| 90836 | <1% | 19 | $602.22 | |
| 95115 | <1% | 56 | $565.52 | |
| 90734 | <1% | 107 | $543.93 | |
| 51798 | <1% | 96 | $535.50 | |
| 0002A | <1% | 12 | $490.00 | |
| 0072A | <1% | 16 | $481.20 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 77 | $435.70 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 35 | $412.48 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 22 | $339.33 |
| 92551 | <1% | 27 | $331.33 | |
| 99460 | <1% | 17 | $331.13 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 35 | $302.28 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 17 | $259.78 |
| 90688 | <1% | 145 | $246.62 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 389 | $235.22 |
| 36416 | <1% | 160 | $225.90 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 26 | $212.41 |
| 94150 | <1% | 158 | $183.10 | |
| 99441 | <1% | 14 | $156.12 | |
| 90697 | <1% | 306 | $132.77 | |
| 81000 | <1% | 74 | $125.04 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14 | $100.33 |
| 90744 | <1% | 343 | $98.09 | |
| 90658 | <1% | 34 | $97.04 | |
| 82947 | <1% | 27 | $83.09 | |
| 81003 | <1% | 150 | $55.15 | |
| 90696 | <1% | 52 | $49.44 | |
| 90656 | <1% | 181 | $45.59 | |
| G0008 | Administration of influenza virus vaccine | <1% | 21 | $37.60 |
| 85018 | <1% | 12 | $32.19 | |
| 90630 | <1% | 140 | $29.46 | |
| 3078F | <1% | 15,460 | $25.00 | |
| 91300 | <1% | 92 | $0.16 | |
| 91307 | <1% | 68 | $0.06 | |
| 3074F | <1% | 16,564 | $0.02 | |
| 3079F | <1% | 6,355 | $0.02 | |
| 3077F | <1% | 4,352 | $0.01 | |
| 1159F | 0% | 31,018 | $0.00 | |
| 1160F | 0% | 31,006 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 535 | $0.00 |
| 3725F | 0% | 5,815 | $0.00 | |
| 87275 | 0% | 183 | $0.00 | |
| 90687 | 0% | 22 | $0.00 | |
| 90671 | 0% | 257 | $0.00 | |
| 90700 | 0% | 19 | $0.00 | |
| 1034F | 0% | 4,328 | $0.00 | |
| 3008F | 0% | 30,344 | $0.00 | |
| 1036F | 0% | 18,733 | $0.00 | |
| 3075F | 0% | 2,503 | $0.00 | |
| 1125F | 0% | 3,572 | $0.00 | |
| 1035F | 0% | 102 | $0.00 | |
| 3080F | 0% | 1,949 | $0.00 | |
| 99024 | 0% | 1,058 | $0.00 | |
| 87276 | 0% | 181 | $0.00 | |
| S2900 | Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) | 0% | 109 | $0.00 |
| 3044F | 0% | 25 | $0.00 | |
| 90619 | 0% | 60 | $0.00 | |
| 1126F | 0% | 88 | $0.00 | |
| 96127 | 0% | 49 | $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 officialBOWMAN, MONICA (PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.