Bellefonte Physician Services, INC
Bellefonte Physician Services, INC was paid $204K by Medicaid between Jan 2018 and Mar 2020, across 22 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 34% of everything it billed.
ASHLAND, KY 41101
Next to other Gastroenterology Physician providers in Kentucky
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,880 | $91K | |
| 2019 | 3,618 | $100K | |
| 2020 | 419 | $12K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 34% | 801 | 659 | $70K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 2,056 | 1,895 | $62K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 14% | 1,426 | 1,292 | $29K |
| 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 | 6.6% | 190 | 166 | $13K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 4.7% | 69 | 58 | $10K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 3.7% | 45 | 39 | $7K |
| 99223 | Prolong inpt eval add15 m | 2.4% | 84 | 75 | $5K |
| 99152 | 1.7% | 240 | 213 | $3K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 12 | 12 | $2K |
| 43235 | <1% | 15 | 12 | $1K | |
| 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% | 15 | 14 | $820.88 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 16 | 13 | $683.07 |
10 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,016 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 210 | $0.00 |
| 1090F | 0% | 29 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 16 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 252 | $0.00 |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 104 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 547 | $0.00 |
| 3017F | 0% | 438 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 323 | $0.00 |
| 1101F | 0% | 13 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.