Medicaid Provider Spending

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

BELLEFONTE PHYSICIAN SERVICES, INC.

NPI: 1710123328 · GRAYSON, KY 41143 · Family Medicine Physician · NPI assigned 01/02/2009

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

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

$1.42M
Total Medicaid Paid
68,704
Total Claims
55,240
Beneficiaries
67
Codes Billed
2018-01
First Month
2020-05
Last Month

Provider Details

Authorized OfficialCONNETT, TROY (DIRECTOR OF FINANCE)
NPI Enumeration Date01/02/2009

Related Entities

Other providers sharing the same authorized official: CONNETT, TROY

ProviderCityStateTotal Paid
BELLEFONTE PHYSICIAN SERVICES, INC IRONTON OH $763K
BELLEFONTE PHYSICIAN SERVICES, INC. ASHLAND KY $628K
BELLEFONTE PHYSICIAN SERVICES, INC. ASHLAND KY $399K
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 33,647 $636K
2019 26,989 $609K
2020 8,068 $173K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,447 11,304 $545K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,427 10,609 $386K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,893 4,020 $77K
90460 Immunization administration through 18 years of age via any route, first or only component 2,114 2,001 $58K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,545 1,660 $48K
99308 Subsequent nursing facility care, per day, straightforward 2,040 1,854 $44K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 510 483 $36K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,421 1,161 $33K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 507 462 $30K
J0696 Injection, ceftriaxone sodium, per 250 mg 928 819 $29K
71046 Radiologic examination, chest; 2 views 1,464 1,311 $15K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,364 2,065 $14K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 983 893 $13K
95115 1,019 376 $10K
36415 Collection of venous blood by venipuncture 2,766 2,387 $10K
90632 195 189 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 110 104 $7K
90670 434 386 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 430 417 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 96 89 $6K
99318 173 159 $5K
87807 352 316 $5K
90688 446 429 $4K
90633 718 617 $2K
90723 250 213 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 419 350 $2K
99305 133 98 $2K
99441 268 242 $2K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 564 338 $1K
90648 437 392 $1K
90686 216 210 $1K
93000 93 86 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $932.65
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 89 79 $854.14
99442 38 38 $819.66
90710 30 30 $752.09
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 32 26 $675.99
99215 Prolong outpt/office vis 13 13 $623.83
99415 Prolong outpt/office vis 163 146 $586.56
74018 26 24 $345.80
92551 25 25 $272.34
90649 25 25 $247.42
99422 13 13 $232.70
81003 454 386 $225.72
J2800 Injection, methocarbamol, up to 10 ml 51 38 $208.17
90734 15 15 $205.47
85610 69 38 $189.15
82962 47 40 $130.24
90696 13 13 $99.30
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 13 13 $78.26
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 15 14 $45.11
85018 12 12 $28.28
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,676 1,885 $0.39
G8752 Most recent systolic blood pressure < 140 mmhg 931 661 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 221 158 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 19 13 $0.00
1090F 264 177 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 113 73 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 1,177 819 $0.00
G8432 Depression screening not documented, reason not given 1,898 1,334 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,539 1,055 $0.00
3017F 1,402 990 $0.00
1101F 524 340 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 799 518 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 110 83 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 66 49 $0.00
G0008 Administration of influenza virus vaccine 48 45 $0.00