Fox, Nicholas
Fox, Nicholas was paid $437K by Medicaid between Jan 2018 and Mar 2022, across 12 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 33% of everything it billed.
33Billing provider infoFOX, NICHOLAS
ELIZABETHTOWN, KY 42701
ELIZABETHTOWN, KY 42701
33aNPI1861720369assigned 11/23/2009
33bProvider typeChiropractor
28Total paid$437K
24GClaims28,372
24DCodes billed12
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Chiropractor providers in Kentucky
Rank by total paid#84 of 490
Median peer was paid$122K
This provider vs. median3.6×
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 | 6,794 | $111K | |
| 2019 | 8,347 | $126K | |
| 2020 | 7,135 | $121K | |
| 2021 | 5,089 | $69K | |
| 2022 | 1,007 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 33% | 5,472 | 1,958 | $145K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 17% | 4,026 | 1,631 | $74K |
| 97012 | 13% | 6,719 | 2,345 | $59K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 13% | 2,987 | 1,347 | $56K |
| 98940 | 12% | 3,175 | 1,321 | $51K | |
| 97014 | 7.7% | 4,179 | 1,549 | $34K | |
| 97010 | 2.2% | 1,399 | 499 | $10K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 128 | 99 | $6K |
| 98943 | <1% | 125 | 40 | $1K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 76 | 63 | $1K |
| 72100 | <1% | 50 | 41 | $935.74 | |
| 72040 | <1% | 36 | 28 | $564.05 |
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.