Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

John K Garner MD PSC

John K Garner MD PSC was paid $1.45M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99493, — 42% of everything it billed.

33Billing provider infoJOHN K GARNER MD PSC
CAMPBELLSVILLE, KY 42718
33aNPI1821316290assigned 05/11/2010
28Total paid$1.45M
24GClaims45,838
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Kentucky

Rank by total paid#50 of 352
Median peer was paid$90K
This provider vs. median16×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20182,995$62K
20192,926$67K
20208,421$302K
202117,686$510K
20225,506$217K
20235,147$186K
2024incomplete3,157$108K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99493 42% 7,728 7,139 $611K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35% 14,739 11,570 $503K
80305 10% 18,463 13,077 $147K
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 6.8% 2,212 1,607 $98K
99484 2.6% 1,321 1,152 $38K
G2087 Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month 1.9% 854 832 $27K
99492 <1% 95 95 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 135 134 $6K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 70 69 $5K
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% 35 31 $3K
G2086 Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month <1% 142 142 $3K
81025 <1% 44 40 $221.58

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 officialGARNER, JOHN (OWNER)
Same official

Other billing entities under GARNER, JOHN

Full network →
ProviderLocationPaid
Kimberly School DistrictKimberly, ID$296K

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