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

Western Kentucky Heart & Lung Associates PSC

Western Kentucky Heart & Lung Associates PSC was paid $3.65M by Medicaid between Jan 2018 and Jul 2024, across 50 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 22% of everything it billed.

33Billing provider infoWESTERN KENTUCKY HEART & LUNG ASSOCIATES PSC
BOWLING GREEN, KY 42101
33aNPI1881692861assigned 07/13/2005
28Total paid$3.65M
24GClaims102,841
24DCodes billed50
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers

Next to other Interventional Cardiology Physician providers in Kentucky

Rank by total paid#2 of 12
Median peer was paid$81K
This provider vs. median45×

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$50K$100K2018201920202021202220232024
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
201816,842$505K
201916,804$554K
202015,630$528K
202116,919$682K
202213,815$538K
202314,767$547K
2024incomplete8,064$292K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 22% 20,872 18,459 $811K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 22% 12,387 11,072 $807K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 16% 7,335 2,688 $596K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 12% 14,074 6,409 $423K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.0% 9,337 8,390 $254K
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 4.2% 2,271 2,010 $154K
99223 Prolong inpt eval add15 m 2.6% 1,601 1,438 $96K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.3% 16,347 11,332 $85K
93458 2.3% 609 511 $85K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.3% 4,336 1,832 $84K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1.0% 602 533 $37K
93000 <1% 2,117 1,873 $29K
38 more codes
99203 Doctor's office visit, new patient (routine) <1% 431 $24K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 166 $17K
93298 <1% 1,023 $15K
99244 Office or other outpatient consultation, moderate to high complexity <1% 143 $14K
99443 <1% 457 $14K
99255 <1% 86 $10K
94060 <1% 730 $10K
93015 <1% 169 $9K
99406 <1% 1,409 $9K
93297 <1% 829 $8K
99407 <1% 457 $8K
94727 <1% 902 $7K
94010 <1% 489 $6K
94729 <1% 1,132 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 581 $5K
93299 <1% 232 $5K
93016 <1% 163 $3K
93018 <1% 196 $2K
95806 <1% 29 $2K
94375 <1% 157 $2K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 168 $1K
99442 <1% 87 $1K
31500 <1% 14 $1K
99225 <1% 28 $856.10
93248 <1% 74 $832.10
94726 <1% 101 $762.78
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 35 $681.14
36556 <1% 14 $523.29
93294 <1% 30 $464.88
99423 <1% 13 $359.89
93295 <1% 14 $318.13
93272 <1% 21 $274.50
93228 <1% 15 $206.53
93244 <1% 25 $196.88
76937 <1% 29 $180.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 432 $152.32
99152 <1% 17 $104.39
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 55 $76.82

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 officialKAZIMUDDIN, MOHAMMED (PRESIDENT)