Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Commonwealth Health Corporation, INC

Commonwealth Health Corporation, INC was paid $441K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 44% of everything it billed.

33Billing provider infoCOMMONWEALTH HEALTH CORPORATION, INC
ALBANY, KY 42602
33aNPI1922539188assigned 03/21/2017
28Total paid$441K
24GClaims17,986
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Kentucky

Rank by total paid#50 of 424
Median peer was paid$19K
This provider vs. median23×

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.

Entity ProliferationAuthorized official LAWLESS, MICHELE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
20182,425$99K
20192,165$89K
20201,535$47K
20211,997$46K
20222,969$47K
20233,377$68K
2024incomplete3,518$44K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 44% 2,732 2,088 $193K
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% 5,130 4,085 $106K
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 13% 1,728 1,519 $58K
45380 Colonoscopy, flexible; with biopsy, single or multiple 6.8% 199 173 $30K
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 6.0% 383 339 $26K
45388 4.6% 170 143 $20K
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% 86 71 $4K
99441 <1% 178 147 $2K
71046 Radiologic examination, chest; 2 views <1% 104 97 $576.41
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% 16 16 $103.19
3074F <1% 1,790 1,561 $4.07
3078F <1% 1,635 1,420 $3.39
10 more codes
3079F <1% 1,024 $2.88
1126F <1% 752 $1.44
3077F <1% 507 $1.22
3075F <1% 141 $0.43
3080F <1% 13 $0.05
1159F <1% 600 $0.04
1160F <1% 462 $0.02
99024 0% 267 $0.00
3008F 0% 40 $0.00
1036F 0% 29 $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 officialLAWLESS, MICHELE (EXECUTIVE VICE PRESIDENT & CFO)
Same official

Other billing entities under LAWLESS, MICHELE

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.