Kentuckiana Allergy PSC

Kentuckiana Allergy PSC was paid $354K by Medicaid between Jan 2018 and Nov 2018, across 11 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 43% of everything it billed.

33Billing provider infoKENTUCKIANA ALLERGY PSC
LOUISVILLE, KY 40222

33aNPI1790891125assigned 08/21/2006

33bProvider typeFamily Nurse Practitioner

28Total paid$354K

24GClaims14,607

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2018

Compared with peers

Next to other Family Nurse Practitioner providers in Kentucky

Rank by total paid#61 of 424

Median peer was paid$19K

This provider vs. median19×

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	14,607	$354K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	43%	1,436	1,250	$152K
95117		28%	10,850	3,701	$97K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	15%	387	312	$54K
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	5.6%	390	358	$20K
94010		2.4%	475	434	$9K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.3%	250	233	$8K
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	2.1%	92	81	$7K
95115		<1%	397	165	$2K
95012		<1%	264	237	$2K
95024		<1%	51	41	$1K
94060		<1%	15	14	$401.85

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 officialGARCIA, DANIEL (PRESIDENT/MD)

Same official

Other billing entities under GARCIA, DANIEL

Full network →

Provider	Location	Paid
Innovative Behavioral Behavioral INC	Whittier, CA	$1.86M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.