Semones, Andrea
Semones, Andrea was paid $76K by Medicaid between Feb 2020 and Nov 2021, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoSEMONES, ANDREA
FRANKFORT, KY 40601
FRANKFORT, KY 40601
33aNPI1932539053assigned 11/27/2013
33bProvider typeRegistered Nurse
28Total paid$76K
24GClaims1,995
24DCodes billed5
24AFirst – last monthFeb 2020 – Nov 2021
Compared with peers
Next to other Registered Nurse providers in Kentucky
Rank by total paid#2 of 20
Median peer was paid$12K
This provider vs. median6.3×
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 | |
|---|---|---|---|
| 2020 | 885 | $33K | |
| 2021 | 1,110 | $43K |
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 | 42% | 1,017 | 902 | $32K |
| H0032 | Mental health service plan development by non-physician | 41% | 747 | 641 | $31K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 9.1% | 94 | 84 | $7K |
| 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 | 5.4% | 93 | 74 | $4K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.9% | 44 | 39 | $1K |
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.