NP / PA
West Kentucky Neurological Medicine, PLLC
West Kentucky Neurological Medicine, PLLC was paid $717K by Medicaid between Jan 2018 and Mar 2023, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoWEST KENTUCKY NEUROLOGICAL MEDICINE, PLLC
HOPKINSVILLE, KY 42240
HOPKINSVILLE, KY 42240
33aNPI1821020934assigned 07/07/2006
33bProvider typeFamily Nurse Practitioner
28Total paid$717K
24GClaims14,613
24DCodes billed13
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Family Nurse Practitioner providers in Kentucky
Rank by total paid#32 of 424
Median peer was paid$19K
This provider vs. median38×
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 | 2,784 | $150K | |
| 2019 | 2,558 | $121K | |
| 2020 | 3,167 | $140K | |
| 2021 | 3,292 | $140K | |
| 2022 | 2,254 | $133K | |
| 2023 | 558 | $33K |
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 | 34% | 7,627 | 6,373 | $242K |
| 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 | 19% | 3,200 | 2,721 | $133K |
| 95886 | 16% | 1,301 | 1,171 | $115K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 13% | 866 | 763 | $94K |
| 95911 | 7.1% | 379 | 345 | $51K | |
| 99205 | Prolong outpt/office vis | 4.8% | 339 | 310 | $34K |
| 99243 | 2.4% | 222 | 198 | $17K | |
| 99245 | 1.5% | 81 | 73 | $11K | |
| 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 | <1% | 86 | 78 | $6K |
| 95909 | <1% | 73 | 65 | $5K | |
| 99442 | <1% | 268 | 235 | $4K | |
| 95816 | <1% | 76 | 66 | $2K |
1 more codes
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 95 | $1K |
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 officialSHETH, PARESH (OWNER/SINGLE MEMBER)