Behavioral
Kentuckyone Health Medical Group, INC.
Kentuckyone Health Medical Group, INC. was paid $936K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoKENTUCKYONE HEALTH MEDICAL GROUP, INC.
LEXINGTON, KY 40504
LEXINGTON, KY 40504
33aNPI1902238694assigned 08/05/2013
33bProvider typeMental Health Counselor
28Total paid$936K
24GClaims33,464
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in Kentucky
Rank by total paid#44 of 204
Median peer was paid$135K
This provider vs. median6.9×
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 | 4,547 | $123K | |
| 2019 | 5,533 | $165K | |
| 2020 | 6,161 | $162K | |
| 2021 | 5,009 | $141K | |
| 2022 | 4,911 | $135K | |
| 2023 | 3,104 | $75K | |
| 2024incomplete | 4,199 | $136K |
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 | 48% | 15,837 | 13,033 | $450K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 16% | 2,491 | 2,239 | $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 | 12% | 2,379 | 2,078 | $112K |
| 73630 | 7.1% | 4,857 | 3,997 | $66K | |
| 29405 | 6.7% | 1,689 | 1,213 | $62K | |
| 73610 | 3.6% | 2,782 | 2,278 | $33K | |
| 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 | 3.5% | 394 | 373 | $33K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 1.1% | 643 | 462 | $10K |
| Q4038 | Cast supplies, short leg cast, adult (11 years +), fiberglass | <1% | 459 | 325 | $5K |
| 11721 | <1% | 311 | 258 | $4K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 400 | 308 | $3K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 276 | 237 | $3K |
11 more codes
| 29515 | <1% | 69 | $1K | |
| 20550 | <1% | 42 | $1K | |
| 92567 | <1% | 99 | $1K | |
| 20605 | <1% | 59 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 31 | $599.23 |
| 99442 | <1% | 31 | $518.90 | |
| 81002 | <1% | 93 | $320.16 | |
| 73650 | <1% | 33 | $266.93 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 31 | $106.33 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 15 | $71.04 |
| 99024 | 0% | 443 | $0.00 |
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 officialJONES, CARMEL (COO)
| Provider | Location | Paid |
|---|---|---|
| Kentuckyone Health Medical Group, INC. | Lexington, KY | $38.76M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.