NP / PA
Kentucky Hospital, LLC
Kentucky Hospital, LLC was paid $431K by Medicaid between Jan 2018 and Feb 2021, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.
33Billing provider infoKENTUCKY HOSPITAL, LLC
STANTON, KY 40380
STANTON, KY 40380
33aNPI1770809808assigned 04/14/2010
33bProvider typeNurse Practitioner
28Total paid$431K
24GClaims31,381
24DCodes billed25
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#68 of 260
Median peer was paid$89K
This provider vs. median4.8×
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 DILLON, TERRANCE 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 | 10,918 | $201K | |
| 2019 | 11,092 | $147K | |
| 2020 | 8,426 | $79K | |
| 2021 | 945 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 74% | 10,584 | 8,878 | $319K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 8.4% | 2,756 | 1,411 | $36K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 6.9% | 2,487 | 2,194 | $30K |
| 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 | 5.4% | 576 | 490 | $23K |
| 36415 | Collection of venous blood by venipuncture | 1.6% | 1,647 | 1,381 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.1% | 396 | 249 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 454 | 413 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 165 | 144 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | 13 | $870.41 |
| 99201 | <1% | 25 | 23 | $633.60 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 46 | 41 | $448.44 |
| 95117 | <1% | 15 | 12 | $156.95 |
13 more codes
| 81002 | <1% | 29 | $29.98 | |
| 90633 | <1% | 76 | $23.27 | |
| 1220F | <1% | 3,829 | $3.00 | |
| 4004F | 0% | 492 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 2,116 | $0.00 |
| 1159F | 0% | 1,779 | $0.00 | |
| 3078F | 0% | 1,088 | $0.00 | |
| 3077F | 0% | 16 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 43 | $0.00 |
| 1036F | 0% | 1,372 | $0.00 | |
| 3079F | 0% | 273 | $0.00 | |
| 3074F | 0% | 984 | $0.00 | |
| 3075F | 0% | 120 | $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 officialDILLON, TERRANCE (ASSISTANT SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| RCHP Billings - Missoula LLC | Missoula, MT | $13.10M |
| Lake Cumberland Surgery Center LP | Somerset, KY | $8.72M |
| Crockett Hospital LLC | Lawrenceburg, TN | $4.56M |
| Lohman Endoscopy Center, LLC | Las Cruces, NM | $4.45M |
| Phc-Fort Morgan INC | Fort Morgan, CO | $1.30M |
| Dodge City Healthcare Group LLC | Dodge City, KS | $737K |
| Kershaw Hospital LLC | Elgin, SC | $695K |
| Pinelake Physician Practice LLC | Hickman, KY | $263K |
| Rehabcare Group East, LLC | Greenfield, WI | $208K |
| ST. Mary's Specialty LLC | Russellville, AR | $136K |
| Rehabcare Group East LLC | Kirkwood, MO | $29K |
| Rehabcare Group East, LLC | Asheville, NC | $23K |
| DLP Marquette General Hospital LLC | Marquette, MI | $23K |
| SJRMC Interventional Radiology Services LLC | Lewiston, ID | $19K |
| DLP Marquette General Hospital LLC | Marquette, MI | $16K |
| The Therapy Group, LLC | Houma, LA | $10K |
| Havasu Regional Medical Center LLC | Lake Havasu City, AZ | $6K |
| Peoplefirst Virginia, LLC | Timonium, MD | $3K |
| Amg-Southern Tennessee LLC | Estill Springs, TN | $1K |
| Rehabcare Group East, LLC | Shalimar, FL | $471.77 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.