Physician
Family & Internal Medicine Associates PLLC
Family & Internal Medicine Associates PLLC was paid $1.39M by Medicaid between Jan 2018 and Jan 2023, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoFAMILY & INTERNAL MEDICINE ASSOCIATES PLLC
LEBANON, KY 40033
LEBANON, KY 40033
33aNPI1780682609assigned 07/13/2005
33bProvider typeInternal Medicine Physician
28Total paid$1.39M
24GClaims90,427
24DCodes billed50
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Internal Medicine Physician providers in Kentucky
Rank by total paid#23 of 231
Median peer was paid$77K
This provider vs. median18×
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 | 18,496 | $270K | |
| 2019 | 15,847 | $250K | |
| 2020 | 9,846 | $177K | |
| 2021 | 22,008 | $326K | |
| 2022 | 24,040 | $361K | |
| 2023 | 190 | $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 | 53% | 23,963 | 19,945 | $741K |
| 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 | 16% | 5,979 | 4,882 | $223K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 6.3% | 9,430 | 7,591 | $87K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 4.6% | 1,569 | 1,418 | $63K |
| 87428 | 2.0% | 812 | 742 | $28K | |
| 80053 | Comprehensive metabolic panel | 2.0% | 4,096 | 3,773 | $27K |
| 36415 | Collection of venous blood by venipuncture | 1.8% | 12,562 | 8,443 | $24K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 1,190 | 748 | $20K |
| 80061 | Lipid panel | 1.4% | 2,195 | 2,039 | $19K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 3,865 | 3,470 | $19K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 1.2% | 824 | 775 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 1,322 | 1,205 | $17K |
38 more codes
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.0% | 628 | $14K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 247 | $14K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,287 | $13K |
| 80050 | General health panel | <1% | 223 | $9K |
| 99307 | <1% | 383 | $8K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,209 | $7K |
| 81000 | <1% | 2,623 | $6K | |
| 94760 | <1% | 5,677 | $6K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 878 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 248 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 234 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 23 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 82 | $2K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 310 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 130 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $932.80 |
| 93018 | <1% | 43 | $853.78 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 12 | $500.90 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 12 | $500.90 |
| 87070 | <1% | 49 | $402.81 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 79 | $343.49 |
| 82607 | <1% | 25 | $305.62 | |
| 93000 | <1% | 13 | $261.48 | |
| 99406 | <1% | 25 | $192.78 | |
| 87220 | <1% | 53 | $150.43 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 749 | $150.08 |
| 87210 | <1% | 38 | $126.91 | |
| 87186 | <1% | 14 | $85.21 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 168 | $17.13 |
| 81002 | <1% | 13 | $9.05 | |
| 1159F | <1% | 3,216 | $2.04 | |
| 3008F | <1% | 2,218 | $1.58 | |
| 3044F | <1% | 185 | $0.31 | |
| 1036F | <1% | 1,016 | $0.11 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 145 | $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% | 15 | $0.00 |
| 99000 | 0% | 168 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 168 | $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 officialOSBOURNE, JIM (OFFICE ADMINISTRATOR)