Health Care Academy, INC
Health Care Academy, INC was paid $2.60M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 34% of everything it billed.
33Billing provider infoHEALTH CARE ACADEMY, INC
FLORENCE, KY 41042
FLORENCE, KY 41042
33aNPI1801078787assigned 12/03/2007
33bProvider typeSpecialist
28Total paid$2.60M
24GClaims59,040
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Kentucky
Rank by total paid#4 of 73
Median peer was paid$107K
This provider vs. median24×
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 | 12,508 | $439K | |
| 2019 | 11,772 | $507K | |
| 2020 | 10,306 | $499K | |
| 2021 | 8,481 | $414K | |
| 2022 | 6,048 | $290K | |
| 2023 | 5,601 | $249K | |
| 2024incomplete | 4,324 | $204K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 34% | 16,819 | 5,458 | $886K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 19% | 4,775 | 1,395 | $482K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 16% | 23,365 | 5,941 | $422K |
| 99222 | Initial hospital care, per day, moderate complexity | 11% | 5,866 | 5,257 | $291K |
| 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 | 6.7% | 3,569 | 3,271 | $175K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 3.6% | 683 | 630 | $93K |
| 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 | 3.4% | 1,032 | 924 | $89K |
| 99223 | Prolong inpt eval add15 m | 1.4% | 309 | 287 | $36K |
| 95811 | 1.4% | 270 | 251 | $36K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 442 | 392 | $34K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 560 | 432 | $16K |
| 99306 | Prolong nursin fac eval 15m | <1% | 195 | 155 | $11K |
11 more codes
| 99205 | Prolong outpt/office vis | <1% | 85 | $10K |
| 31645 | <1% | 136 | $9K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 131 | $6K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 282 | $2K |
| 99406 | <1% | 179 | $1K | |
| 94726 | <1% | 84 | $596.24 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 49 | $390.26 |
| 94729 | <1% | 71 | $364.35 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 86 | $241.64 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 23 | $116.76 |
| 99091 | <1% | 29 | $66.72 |
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 officialKUTMAH, KHEDER (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Sleep Center of Kentuckiana, LLC | Louisville, KY | $121K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.