Commonwealth of Kentucky
Commonwealth of Kentucky was paid $435K by Medicaid between Sep 2018 and Aug 2024, across 8 billing codes. Its largest line is 99239, Hospital discharge day management, more than 30 minutes — 34% of everything it billed.
LEXINGTON, KY 40511
Next to other Neurology 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 | 44 | $414.48 | |
| 2019 | 138 | $4K | |
| 2020 | 1,810 | $68K | |
| 2021 | 2,603 | $102K | |
| 2022 | 4,099 | $147K | |
| 2023 | 2,281 | $83K | |
| 2024incomplete | 486 | $31K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99239 | Hospital discharge day management, more than 30 minutes | 34% | 3,041 | 2,691 | $147K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 28% | 4,893 | 1,709 | $121K |
| 99223 | Prolong inpt eval add15 m | 22% | 1,419 | 1,259 | $97K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 15% | 1,842 | 752 | $63K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 145 | 71 | $3K |
| 99221 | <1% | 92 | 84 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | 14 | $761.84 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 15 | 12 | $28.56 |
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
| Provider | Location | Paid |
|---|---|---|
| Emergency Medical Services of Lorain, INC. | Lorain, OH | $6.88M |
| Ultimate Home Care LLC, Dba Oak View Health Services | Idabel, OK | $4.68M |
| Nes Georgia INC | Elizabeth, NJ | $4.66M |
| Nes of Sandusky INC | Logansport, IN | $2.72M |
| Nes Tennessee INC | Montgomery, AL | $1.76M |
| Whitaker National Corporation | Jackson, KY | $1.69M |
| Whitaker National Corporation | Paintsville, KY | $1.62M |
| Emergency Medical Services of Lorain, INC. | Oberlin, OH | $1.58M |
| Commonwealth of Kentucky | Louisville, KY | $1.51M |
| Whitaker National Corporation | Louisa, KY | $1.19M |
| Nes Tennessee INC | Monroeville, AL | $915K |
| Jennifer C Moore MSW LCSW INC | Las Vegas, NV | $620K |
| Nes Kentucky INC | Nashville, AR | $617K |
| Hles of Ohio INC | East Liverpool, OH | $553K |
| Commonwealth of Kentucky | Somerset, KY | $451K |
| Nes Medical Services of New England INC | Bangor, ME | $348K |
| Nes Louisiana INC | Springhill, LA | $257K |
| Hles of Ohio, INC. | Wauseon, OH | $229K |
| Ultimate Home Care LLC, Dba Oak View Helath Services | Idabel, OK | $181K |
| Commonwealth of Kentucky | Hopkinsville, KY | $151K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.