Ballard Wright, MD, PSC

Ballard Wright, MD, PSC was paid $12.39M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is G0480, Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed — 35% of everything it billed.

Compared with peers

Next to other Clinical Social Worker providers in Kentucky

Rank by total paid#2 of 275

Median peer was paid$57K

This provider vs. median216×

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
2018	77,169	$2.59M
2019	61,915	$2.11M
2020	48,749	$1.52M
2021	61,212	$1.85M
2022	53,697	$1.49M
2023	62,860	$1.64M
2024incomplete	38,321	$1.19M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed	35%	66,754	62,520	$4.37M
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	24%	72,065	67,399	$2.95M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	89,796	79,609	$1.94M
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	12%	42,450	36,679	$1.51M
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	2.7%	6,489	5,477	$332K
99490	Ccm add 20min	2.3%	14,484	13,424	$285K
80053	Comprehensive metabolic panel	1.2%	19,892	18,810	$144K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	19,934	18,849	$110K
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%	1,924	1,715	$102K
82977		<1%	19,902	18,851	$102K
64635		<1%	532	395	$72K
90792	Psychiatric diagnostic evaluation with medical services	<1%	1,549	1,298	$67K

37 more codes

82248		<1%	12,119	$42K
84100		<1%	12,140	$40K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	1,605	$34K
99204	Doctor's office visit, new patient (more involved)	<1%	412	$31K
99439		<1%	1,175	$27K
36415	Collection of venous blood by venipuncture	<1%	9,391	$26K
64636		<1%	519	$25K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,002	$20K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	496	$19K
77080		<1%	301	$17K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	1,575	$16K
64483		<1%	91	$12K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	1,079	$11K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	765	$11K
64493		<1%	132	$10K
90834	Psychotherapy session, about 45 minutes	<1%	372	$10K
96127		<1%	2,061	$10K
86328		<1%	308	$9K
G0659	Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem), excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase), performed without method or drug-specific calibration, without matrix-matched quality control material, or without use of stable isotope or other universally recognized internal standard(s) for each drug, drug metabolite or drug class per specimen; qualitative or quantitative, all sources, includes specimen validity testing, per day, any number of drug classes	<1%	145	$9K
97162		<1%	213	$6K
64494		<1%	132	$6K
99152		<1%	769	$6K
62323		<1%	89	$4K
96160		<1%	856	$2K
99205	Prolong outpt/office vis	<1%	14	$2K
97164		<1%	83	$1K
99215	Doctor's office visit, returning patient (complex)	<1%	15	$1K
90836		<1%	49	$1K
80050	General health panel	<1%	16	$782.88
72100		<1%	45	$594.67
20552		<1%	17	$350.57
99442		<1%	19	$309.85
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	50	$240.64
84403		<1%	12	$226.80
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	25	$185.87
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	<1%	47	$100.47
99441		<1%	13	$92.19

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 officialTERRELL, RANDY (CFO)