Medicaid Provider Spending

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

KENTUCKIANA PULMONARY ASSOCIATES, PLLC

NPI: 1699725598 · LOUISVILLE, KY 40202 · Nurse Practitioner · NPI assigned 05/11/2006

$1.93M
Total Medicaid Paid
52,102
Total Claims
22,320
Beneficiaries
23
Codes Billed
2018-01
First Month
2020-10
Last Month

Provider Details

Authorized OfficialMCCONNELL, JOHN (PRESIDENT)
NPI Enumeration Date05/11/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,127 $602K
2019 19,392 $692K
2020 14,583 $634K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 13,915 5,002 $1.10M
99232 Subsequent hospital care, per day, moderate complexity 24,513 9,494 $519K
99233 Prolong inpt eval add15 m 3,373 2,004 $89K
99231 Subsequent hospital care, per day, straightforward or low complexity 4,869 1,283 $78K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,351 1,140 $38K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,421 1,190 $33K
99222 Initial hospital care, per day, moderate complexity 456 414 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 185 167 $15K
99223 Prolong inpt eval add15 m 249 216 $14K
99308 Subsequent nursing facility care, per day, straightforward 243 61 $5K
94726 488 429 $5K
94729 455 402 $4K
99239 Hospital discharge day management, more than 30 minutes 94 76 $3K
95800 68 59 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters 24 24 $2K
99254 14 14 $1K
99442 107 97 $1K
94060 138 128 $939.27
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 23 16 $267.47
98967 27 27 $193.78
94010 16 13 $154.11
36415 Collection of venous blood by venipuncture 57 49 $93.44
95012 16 15 $75.21