Physician
Specialistsmat PSC
Specialistsmat PSC was paid $6.55M by Medicaid between Jul 2021 and Dec 2024, across 22 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 31% of everything it billed.
33Billing provider infoSPECIALISTSMAT PSC
ELIZABETHTOWN, KY 42701
ELIZABETHTOWN, KY 42701
33aNPI1851998181assigned 10/09/2020
33bProvider typeInterventional Pain Medicine Physician
28Total paid$6.55M
24GClaims120,251
24DCodes billed22
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers
Next to other Interventional Pain Medicine Physician providers in Kentucky
Rank by total paid#1 of 24
Median peer was paid$58K
This provider vs. median113×
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 | |
|---|---|---|---|
| 2021 | 14,671 | $487K | |
| 2022 | 37,847 | $1.78M | |
| 2023 | 37,815 | $2.18M | |
| 2024incomplete | 29,918 | $2.11M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 31% | 43,497 | 29,914 | $2.04M |
| T2023 | Targeted case management; per month | 22% | 4,309 | 3,952 | $1.45M |
| 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% | 19,542 | 15,213 | $1.06M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 21,422 | 16,226 | $750K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 6.1% | 11,998 | 9,105 | $397K |
| 90838 | 4.0% | 4,382 | 3,619 | $265K | |
| 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 | 3.6% | 2,888 | 2,407 | $236K |
| 90836 | 2.2% | 3,322 | 2,543 | $147K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 543 | 485 | $45K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 928 | 800 | $35K |
| 99205 | Prolong outpt/office vis | <1% | 255 | 237 | $30K |
| 99406 | <1% | 3,898 | 3,088 | $25K |
10 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 259 | $23K |
| 97151 | <1% | 971 | $17K | |
| 90837 | Psychotherapy session, about an hour | <1% | 206 | $13K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 923 | $13K |
| H0049 | Alcohol and/or drug screening | <1% | 674 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 100 | $3K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 68 | $3K |
| 98977 | <1% | 41 | $1K | |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | $1K |
| 98975 | <1% | 13 | $187.33 |
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 officialNETHERTON, CARA (PRACTICE MANAGER)