Physician
Commonwealth Health Corporation, INC.
Commonwealth Health Corporation, INC. was paid $4.99M by Medicaid between Jan 2018 and Dec 2024, across 79 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 22% of everything it billed.
33Billing provider infoCOMMONWEALTH HEALTH CORPORATION, INC.
SCOTTSVILLE, KY 42164
SCOTTSVILLE, KY 42164
33aNPI1740710250assigned 06/16/2017
33bProvider typeGastroenterology Physician
28Total paid$4.99M
24GClaims195,904
24DCodes billed79
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Kentucky
Rank by total paid#1 of 23
Median peer was paid$116K
This provider vs. median43×
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 LAWLESS, MICHELE 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 | 23,145 | $836K | |
| 2019 | 17,656 | $572K | |
| 2020 | 18,523 | $630K | |
| 2021 | 38,942 | $883K | |
| 2022 | 31,347 | $653K | |
| 2023 | 40,849 | $900K | |
| 2024incomplete | 25,442 | $516K |
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 | 22% | 51,156 | 17,241 | $1.09M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 24,376 | 20,230 | $645K |
| 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 | 11% | 14,046 | 11,283 | $540K |
| 99223 | Prolong inpt eval add15 m | 8.7% | 6,517 | 5,715 | $432K |
| 43775 | 7.8% | 625 | 501 | $389K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.8% | 4,410 | 3,936 | $340K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.6% | 5,927 | 5,335 | $329K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.9% | 12,729 | 4,874 | $143K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.6% | 926 | 818 | $131K |
| 0002A | 2.4% | 4,153 | 3,999 | $121K | |
| 20610 | 2.3% | 3,617 | 2,812 | $116K | |
| 0001A | 2.3% | 4,350 | 4,211 | $114K |
67 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | 1.8% | 2,120 | $88K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.6% | 2,691 | $79K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 3,468 | $72K |
| 43281 | 1.3% | 116 | $63K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,458 | $46K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 947 | $45K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 219 | $15K |
| 99243 | <1% | 174 | $14K | |
| 72110 | <1% | 531 | $14K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 2,904 | $14K |
| 99205 | Prolong outpt/office vis | <1% | 118 | $13K |
| 0004A | <1% | 625 | $11K | |
| 73610 | <1% | 630 | $9K | |
| 73630 | <1% | 633 | $9K | |
| 72170 | <1% | 573 | $8K | |
| 99220 | <1% | 99 | $8K | |
| 0012A | <1% | 349 | $8K | |
| 0011A | <1% | 433 | $7K | |
| 72040 | <1% | 370 | $6K | |
| 72100 | <1% | 370 | $6K | |
| 0072A | <1% | 131 | $5K | |
| 0071A | <1% | 115 | $4K | |
| 0054A | <1% | 207 | $4K | |
| 22853 | <1% | 17 | $4K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 693 | $4K |
| 99253 | <1% | 49 | $3K | |
| 92567 | <1% | 236 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 83 | $3K |
| 99442 | <1% | 86 | $3K | |
| 99221 | <1% | 124 | $3K | |
| 73502 | <1% | 168 | $2K | |
| 20930 | <1% | 20 | $2K | |
| 73560 | <1% | 194 | $2K | |
| 99217 | <1% | 47 | $2K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 30 | $2K |
| 99252 | <1% | 28 | $1K | |
| 0003A | <1% | 112 | $1K | |
| 0052A | <1% | 57 | $1K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 16 | $1K |
| 99225 | <1% | 67 | $1K | |
| 99385 | <1% | 12 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $1K |
| 20611 | <1% | 14 | $836.64 | |
| 99219 | <1% | 16 | $781.78 | |
| 73030 | <1% | 43 | $731.89 | |
| 0051A | <1% | 30 | $649.60 | |
| 73562 | <1% | 33 | $406.90 | |
| 92134 | <1% | 15 | $301.22 | |
| 0064A | <1% | 14 | $163.20 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 168 | $104.92 |
| 99000 | <1% | 30 | $45.00 | |
| 3074F | <1% | 8,738 | $22.60 | |
| 3078F | <1% | 8,462 | $19.51 | |
| 3079F | <1% | 4,222 | $12.02 | |
| 3077F | <1% | 2,764 | $6.79 | |
| 3075F | <1% | 1,259 | $3.33 | |
| 3080F | <1% | 645 | $1.74 | |
| 1126F | <1% | 1,015 | $1.60 | |
| 91300 | <1% | 5,301 | $0.34 | |
| 1159F | <1% | 1,823 | $0.26 | |
| 1125F | <1% | 126 | $0.19 | |
| 99024 | <1% | 5,396 | $0.11 | |
| 91301 | <1% | 500 | $0.03 | |
| 1160F | <1% | 110 | $0.02 | |
| 3008F | 0% | 922 | $0.00 | |
| 2022F | 0% | 27 | $0.00 | |
| 0521F | 0% | 66 | $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 officialLAWLESS, MICHELE (EXECUTIVE VICE PRESIDENT & CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.