Bellefonte Physician Services, INC.
Bellefonte Physician Services, INC. was paid $209K by Medicaid between Jan 2018 and May 2020, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.
FLATWOODS, KY 41139
Next to other Internal Medicine 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 | 6,520 | $88K | |
| 2019 | 3,892 | $92K | |
| 2020 | 1,111 | $29K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 72% | 4,320 | 3,311 | $150K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 2,070 | 1,627 | $50K |
| 90688 | <1% | 228 | 210 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 165 | 161 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 129 | 61 | $2K |
| 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% | 36 | 28 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 98 | 78 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 352 | 272 | $481.46 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | 13 | $193.12 |
| 99441 | <1% | 19 | 19 | $165.79 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 512 | 310 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 818 | 497 | $0.00 |
8 more codes
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 299 | $0.00 |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 301 | $0.00 |
| 3017F | 0% | 496 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 504 | $0.00 |
| 1101F | 0% | 300 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 430 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 353 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 80 | $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.