NP / PA
Modern Dermatology of Kentucky LLC
Modern Dermatology of Kentucky LLC was paid $3.66M by Medicaid between Jan 2021 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
33Billing provider infoMODERN DERMATOLOGY OF KENTUCKY LLC
LEXINGTON, KY 40503
LEXINGTON, KY 40503
33aNPI1699382507assigned 09/24/2020
33bProvider typePhysician Assistant
28Total paid$3.66M
24GClaims113,578
24DCodes billed34
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Kentucky
Rank by total paid#15 of 214
Median peer was paid$134K
This provider vs. median27×
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 | |
|---|---|---|---|
| 2021 | 22,472 | $703K | |
| 2022 | 30,920 | $976K | |
| 2023 | 32,738 | $1.04M | |
| 2024incomplete | 27,448 | $938K |
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 | 20% | 29,111 | 26,906 | $743K |
| 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 | 18% | 15,613 | 14,678 | $659K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 9,781 | 8,915 | $443K |
| 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 | 8.2% | 4,250 | 3,947 | $302K |
| 99243 | 7.1% | 4,080 | 3,919 | $260K | |
| 11102 | 6.9% | 6,237 | 5,497 | $253K | |
| 99242 | 5.8% | 4,568 | 4,376 | $213K | |
| 17110 | 3.8% | 9,290 | 8,421 | $141K | |
| 17000 | 2.4% | 5,478 | 4,462 | $88K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 4,587 | 3,982 | $77K |
| 11104 | 2.1% | 1,559 | 1,359 | $76K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.8% | 717 | 671 | $65K |
22 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.7% | 2,143 | $63K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.6% | 2,214 | $58K |
| 12032 | 1.1% | 932 | $42K | |
| 77280 | <1% | 742 | $34K | |
| 17003 | <1% | 2,242 | $33K | |
| 81025 | <1% | 4,829 | $24K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,771 | $21K |
| 11103 | <1% | 529 | $17K | |
| 13132 | <1% | 97 | $12K | |
| 0394T | <1% | 545 | $7K | |
| 77290 | <1% | 47 | $7K | |
| 88342 | <1% | 291 | $7K | |
| 11200 | <1% | 325 | $5K | |
| 13121 | <1% | 23 | $3K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 844 | $2K |
| 88313 | <1% | 231 | $2K | |
| 11603 | <1% | 45 | $2K | |
| 11900 | <1% | 116 | $1K | |
| 88304 | <1% | 260 | $1K | |
| 11105 | <1% | 28 | $837.80 | |
| 99241 | <1% | 36 | $704.46 | |
| 11402 | <1% | 17 | $350.22 |
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 officialCOMBS, FRANK (MANAGING PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Pathology Associates of Columbus INC | Columbus, OH | $1.25M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.