Commonwealth Specialists of Kentucky LLC
Commonwealth Specialists of Kentucky LLC was paid $922K by Medicaid between Jan 2018 and Nov 2024, across 57 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoCOMMONWEALTH SPECIALISTS OF KENTUCKY LLC
FRANKFORT, KY 40601
FRANKFORT, KY 40601
33aNPI1770741498assigned 05/29/2008
33bProvider typeGeneral Practice Registered Nurse
28Total paid$922K
24GClaims37,675
24DCodes billed57
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Registered Nurse providers in Kentucky
Rank by total paid#1 of 5
Median peer was paid$22K
This provider vs. median41×
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 | 15,570 | $176K | |
| 2019 | 3,112 | $129K | |
| 2020 | 3,279 | $111K | |
| 2021 | 5,222 | $190K | |
| 2022 | 4,550 | $140K | |
| 2023 | 4,213 | $115K | |
| 2024incomplete | 1,729 | $62K |
Box 24 · Service lines
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 | 25% | 6,568 | 5,674 | $233K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 14% | 2,496 | 2,187 | $125K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 13% | 1,330 | 1,090 | $124K |
| 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% | 4,001 | 3,506 | $117K |
| 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 | 8.9% | 1,525 | 1,178 | $82K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.9% | 1,557 | 1,392 | $82K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 3.9% | 151 | 134 | $36K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.5% | 3,320 | 2,840 | $23K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.9% | 409 | 314 | $17K |
| 93000 | 1.7% | 1,385 | 1,205 | $16K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 589 | 481 | $13K |
| 20610 | 1.3% | 355 | 303 | $12K |
45 more codes
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.1% | 75 | $11K |
| 73560 | <1% | 591 | $9K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 13 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 30 | $3K |
| 99223 | Prolong inpt eval add15 m | <1% | 31 | $2K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 324 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 116 | $2K |
| 43235 | <1% | 13 | $1K | |
| 73030 | <1% | 78 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 37 | $1K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 13 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 20 | $896.27 |
| 93356 | <1% | 154 | $873.54 | |
| 43450 | <1% | 51 | $826.83 | |
| 73610 | <1% | 40 | $688.01 | |
| 99441 | <1% | 42 | $586.34 | |
| 73501 | <1% | 28 | $298.07 | |
| 73130 | <1% | 15 | $270.98 | |
| 93228 | <1% | 17 | $231.27 | |
| 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% | 27 | $127.41 |
| 98966 | <1% | 21 | $83.92 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 119 | $0.00 |
| 4044F | 0% | 134 | $0.00 | |
| G8599 | Aspirin or another antiplatelet therapy not used, reason not given | 0% | 178 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 67 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 426 | $0.00 |
| 3017F | 0% | 174 | $0.00 | |
| 99024 | 0% | 262 | $0.00 | |
| 1036F | 0% | 406 | $0.00 | |
| 4086F | 0% | 939 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 408 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 69 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 39 | $0.00 |
| 4010F | 0% | 36 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 526 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 1,260 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,311 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 498 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,317 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 252 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 147 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 188 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 58 | $0.00 |
| 4004F | 0% | 265 | $0.00 | |
| 4040F | 0% | 174 | $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 officialJOHNSON, TEDRICK (VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Mission Health Community Multispecialty Providers, LLC | Arden, NC | $23.99M |
| Mission Health Community Multispecialty Providers, LLC | Asheville, NC | $290K |
| Heathrow Internal Medicine LLC | Lake Mary, FL | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.