Physician
Bellefonte Physician Services, INC.
Bellefonte Physician Services, INC. was paid $1.42M by Medicaid between Jan 2018 and May 2020, across 67 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoBELLEFONTE PHYSICIAN SERVICES, INC.
GRAYSON, KY 41143
GRAYSON, KY 41143
33aNPI1710123328assigned 01/02/2009
33bProvider typeFamily Medicine Physician
28Total paid$1.42M
24GClaims68,704
24DCodes billed67
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#53 of 352
Median peer was paid$90K
This provider vs. median16×
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 CONNETT, TROY 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 | 33,647 | $636K | |
| 2019 | 26,989 | $609K | |
| 2020 | 8,068 | $173K |
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 | 38% | 13,447 | 11,304 | $545K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 12,427 | 10,609 | $386K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 5.4% | 4,893 | 4,020 | $77K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.1% | 2,114 | 2,001 | $58K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.4% | 3,545 | 1,660 | $48K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.1% | 2,040 | 1,854 | $44K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 510 | 483 | $36K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.3% | 1,421 | 1,161 | $33K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 507 | 462 | $30K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 2.0% | 928 | 819 | $29K |
| 71046 | Radiologic examination, chest; 2 views | 1.1% | 1,464 | 1,311 | $15K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 2,364 | 2,065 | $14K |
55 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 983 | $13K |
| 95115 | <1% | 1,019 | $10K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,766 | $10K |
| 90632 | <1% | 195 | $9K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 110 | $7K |
| 90670 | <1% | 434 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 430 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 96 | $6K |
| 99318 | <1% | 173 | $5K | |
| 87807 | <1% | 352 | $5K | |
| 90688 | <1% | 446 | $4K | |
| 90633 | <1% | 718 | $2K | |
| 90723 | <1% | 250 | $2K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 419 | $2K |
| 99305 | <1% | 133 | $2K | |
| 99441 | <1% | 268 | $2K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 564 | $1K |
| 90648 | <1% | 437 | $1K | |
| 90686 | <1% | 216 | $1K | |
| 93000 | <1% | 93 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $932.65 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 89 | $854.14 |
| 99442 | <1% | 38 | $819.66 | |
| 90710 | <1% | 30 | $752.09 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 32 | $675.99 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $623.83 |
| 99415 | Prolong outpt/office vis | <1% | 163 | $586.56 |
| 74018 | <1% | 26 | $345.80 | |
| 92551 | <1% | 25 | $272.34 | |
| 90649 | <1% | 25 | $247.42 | |
| 99422 | <1% | 13 | $232.70 | |
| 81003 | <1% | 454 | $225.72 | |
| J2800 | Injection, methocarbamol, up to 10 ml | <1% | 51 | $208.17 |
| 90734 | <1% | 15 | $205.47 | |
| 85610 | <1% | 69 | $189.15 | |
| 82962 | <1% | 47 | $130.24 | |
| 90696 | <1% | 13 | $99.30 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 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 | <1% | 15 | $45.11 |
| 85018 | <1% | 12 | $28.28 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 2,676 | $0.39 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 931 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 221 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 19 | $0.00 |
| 1090F | 0% | 264 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 113 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 1,177 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 1,898 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,539 | $0.00 |
| 3017F | 0% | 1,402 | $0.00 | |
| 1101F | 0% | 524 | $0.00 | |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 799 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 110 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 66 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 48 | $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 officialCONNETT, TROY (DIRECTOR OF FINANCE)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.