Physician
Southern Kentucky Nephrology Associates PSC
Southern Kentucky Nephrology Associates PSC was paid $424K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 58% of everything it billed.
33Billing provider infoSOUTHERN KENTUCKY NEPHROLOGY ASSOCIATES PSC
BOWLING GREEN, KY 42101
BOWLING GREEN, KY 42101
33aNPI1740310267assigned 03/06/2007
33bProvider typeNephrology Physician
28Total paid$424K
24GClaims26,955
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Kentucky
Rank by total paid#5 of 25
Median peer was paid$52K
This provider vs. median8.1×
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 | 5,076 | $71K | |
| 2019 | 5,322 | $88K | |
| 2020 | 5,927 | $107K | |
| 2021 | 3,337 | $37K | |
| 2022 | 2,821 | $30K | |
| 2023 | 2,357 | $39K | |
| 2024incomplete | 2,115 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 58% | 22,402 | 6,726 | $247K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 34% | 3,297 | 2,539 | $145K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 2.8% | 352 | 150 | $12K |
| 99223 | Prolong inpt eval add15 m | 2.7% | 360 | 262 | $12K |
| 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 | 1.5% | 303 | 229 | $7K |
| 90961 | <1% | 13 | 12 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 38 | 26 | $643.44 |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | 13 | $48.00 |
| 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% | 20 | 13 | $46.58 |
| 81000 | <1% | 143 | 111 | $18.62 | |
| 81002 | 0% | 12 | 12 | $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 officialSMITH, MISTY (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Wild Spirit Counseling, LLC | Marshalltown, IA | $624K |
| Smith Counseling Services, INC. | Birmingham, AL | $37K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.