Bellefonte Physician Services, INC.
Bellefonte Physician Services, INC. was paid $129K by Medicaid between Jan 2018 and Mar 2020, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
SOUTH SHORE, KY 41175
Next to other Internal Medicine Physician providers in Kentucky
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,088 | $63K | |
| 2019 | 2,151 | $58K | |
| 2020 | 319 | $7K |
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 | 64% | 1,812 | 1,618 | $82K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 1,410 | 1,206 | $39K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.5% | 295 | 129 | $3K |
| 36415 | Collection of venous blood by venipuncture | 1.3% | 817 | 740 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 103 | 81 | $1K |
| 90688 | <1% | 83 | 78 | $877.61 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 50 | 48 | $625.90 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 45 | 30 | $387.78 |
| 82962 | <1% | 28 | 25 | $48.40 | |
| 81003 | <1% | 12 | 12 | $2.63 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 123 | 90 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 186 | 137 | $0.00 |
5 more codes
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 101 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 15 | $0.00 |
| 1101F | 0% | 81 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 334 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 63 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.