NP / PA
Kentucky Cardiology, PLLC
Kentucky Cardiology, PLLC was paid $1.42M by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 35% of everything it billed.
33Billing provider infoKENTUCKY CARDIOLOGY, PLLC
LEXINGTON, KY 40509
LEXINGTON, KY 40509
33aNPI1760583165assigned 09/26/2006
33bProvider typePhysician Assistant
28Total paid$1.42M
24GClaims40,163
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physician Assistant providers in Kentucky
Rank by total paid#41 of 214
Median peer was paid$134K
This provider vs. median11×
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 | 7,632 | $212K | |
| 2019 | 9,566 | $168K | |
| 2020 | 4,007 | $194K | |
| 2021 | 5,787 | $240K | |
| 2022 | 6,086 | $269K | |
| 2023 | 4,629 | $221K | |
| 2024incomplete | 2,456 | $116K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 35% | 5,204 | 4,699 | $494K |
| 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 | 21% | 9,290 | 8,136 | $296K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 4,999 | 4,399 | $108K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 4.6% | 348 | 314 | $65K |
| J2785 | Injection, regadenoson, 0.1 mg | 4.3% | 526 | 453 | $61K |
| 93015 | 4.1% | 1,158 | 1,033 | $59K | |
| 93229 | 3.1% | 187 | 165 | $45K | |
| 93241 | 2.9% | 278 | 257 | $41K | |
| 99442 | 2.5% | 1,087 | 978 | $35K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 2.4% | 308 | 281 | $35K |
| 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 | 2.2% | 428 | 387 | $31K |
| 99454 | 2.0% | 1,045 | 959 | $28K |
21 more codes
| 99490 | Ccm add 20min | 2.0% | 2,654 | $28K |
| 93970 | 1.9% | 279 | $27K | |
| 93356 | 1.8% | 1,713 | $25K | |
| 99457 | 1.6% | 1,011 | $22K | |
| 93458 | <1% | 67 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 252 | $4K |
| 99152 | <1% | 201 | $2K | |
| 93975 | <1% | 13 | $1K | |
| 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% | 80 | $1K |
| Q9969 | Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose | <1% | 448 | $935.52 |
| 93228 | <1% | 45 | $591.70 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 32 | $395.16 |
| 93296 | <1% | 51 | $393.93 | |
| 99439 | <1% | 16 | $79.14 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 930 | $44.65 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 4,434 | $12.07 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 858 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 729 | $0.00 |
| 1036F | 0% | 859 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 577 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 56 | $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 officialNOVAK, KIMBERLY (PRACTICE MANAGER)