NP / PA
Kentucky Medical Services Foundation
Kentucky Medical Services Foundation was paid $12.50M by Medicaid between Jan 2018 and Dec 2024, across 116 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoKENTUCKY MEDICAL SERVICES FOUNDATION
LEXINGTON, KY 40536
LEXINGTON, KY 40536
33aNPI1942404223assigned 06/12/2007
33bProvider typeNurse Practitioner
28Total paid$12.50M
24GClaims373,327
24DCodes billed116
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#4 of 260
Median peer was paid$89K
This provider vs. median140×
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 | 37,674 | $1.32M | |
| 2019 | 43,319 | $1.45M | |
| 2020 | 36,860 | $1.32M | |
| 2021 | 48,247 | $1.59M | |
| 2022 | 66,517 | $2.01M | |
| 2023 | 74,205 | $2.46M | |
| 2024incomplete | 66,505 | $2.35M |
Box 24 · Service lines
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 | 27% | 88,225 | 78,878 | $3.44M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 85,210 | 73,327 | $2.37M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.2% | 20,706 | 18,846 | $1.16M |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 7.3% | 11,159 | 10,330 | $906K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.4% | 23,239 | 9,776 | $549K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.3% | 4,795 | 2,324 | $410K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.1% | 8,508 | 8,228 | $393K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 8,997 | 8,369 | $372K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.0% | 5,119 | 4,757 | $252K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 6,501 | 5,880 | $243K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.6% | 6,153 | 5,709 | $204K |
| 99245 | 1.5% | 2,062 | 1,764 | $185K |
104 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 3,945 | $180K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.4% | 2,589 | $177K |
| 99417 | Prolong home eval add 15m | 1.2% | 3,177 | $153K |
| 99254 | 1.2% | 2,498 | $149K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.2% | 3,049 | $148K |
| 99243 | 1.1% | 2,429 | $135K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 3,270 | $112K |
| 93295 | <1% | 3,175 | $75K | |
| 99223 | Prolong inpt eval add15 m | <1% | 1,065 | $70K |
| 99285 | Emergency room visit (most serious) | <1% | 811 | $59K |
| 54150 | <1% | 1,049 | $55K | |
| 95251 | <1% | 3,592 | $42K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,512 | $35K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,646 | $32K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 801 | $32K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 621 | $31K |
| 49083 | <1% | 701 | $31K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,723 | $30K |
| 93298 | <1% | 2,620 | $28K | |
| 80305 | <1% | 3,013 | $26K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 498 | $25K |
| 99495 | <1% | 316 | $24K | |
| 87631 | <1% | 187 | $21K | |
| 99205 | Prolong outpt/office vis | <1% | 383 | $20K |
| 94010 | <1% | 2,192 | $18K | |
| 93294 | <1% | 1,169 | $16K | |
| 99381 | <1% | 373 | $16K | |
| 81025 | <1% | 3,058 | $14K | |
| 82075 | <1% | 586 | $13K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 551 | $12K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 15 | $12K |
| 99253 | <1% | 233 | $12K | |
| 99406 | <1% | 1,895 | $11K | |
| 59025 | Fetal non-stress test | <1% | 458 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 988 | $11K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 192 | $10K |
| 43762 | <1% | 373 | $10K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 345 | $9K |
| 92504 | <1% | 1,254 | $9K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 478 | $8K |
| 81003 | <1% | 14,912 | $8K | |
| 99442 | <1% | 434 | $7K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 265 | $7K |
| H0049 | Alcohol and/or drug screening | <1% | 666 | $7K |
| 69210 | <1% | 461 | $7K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 169 | $6K |
| 96127 | <1% | 2,559 | $6K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 211 | $6K |
| 51798 | <1% | 722 | $6K | |
| 31231 | <1% | 281 | $6K | |
| 99459 | <1% | 453 | $5K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 322 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 410 | $5K |
| 99252 | <1% | 114 | $4K | |
| 99443 | <1% | 156 | $4K | |
| 91200 | <1% | 488 | $4K | |
| 99173 | <1% | 117 | $4K | |
| 94060 | <1% | 299 | $4K | |
| 99385 | <1% | 89 | $4K | |
| 90686 | <1% | 327 | $3K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 155 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 237 | $2K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 406 | $2K |
| 90636 | <1% | 35 | $2K | |
| 51701 | <1% | 74 | $2K | |
| 20610 | <1% | 44 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 227 | $1K |
| 11100 | <1% | 66 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 144 | $1K |
| 81002 | <1% | 1,957 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 43 | $1K |
| 90715 | <1% | 38 | $1K | |
| 99255 | <1% | 15 | $925.47 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 41 | $902.73 |
| 87210 | <1% | 231 | $825.79 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 16 | $810.02 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 143 | $760.36 |
| 36569 | <1% | 14 | $649.20 | |
| 92551 | <1% | 72 | $637.15 | |
| 96160 | <1% | 356 | $623.95 | |
| 96111 | <1% | 13 | $599.36 | |
| 99242 | <1% | 12 | $540.45 | |
| 87807 | <1% | 42 | $465.99 | |
| 90632 | <1% | 15 | $421.69 | |
| 99496 | <1% | 12 | $414.74 | |
| 90461 | <1% | 46 | $396.79 | |
| 99174 | <1% | 27 | $297.74 | |
| 99201 | <1% | 15 | $179.70 | |
| 99188 | <1% | 12 | $158.18 | |
| 3046F | <1% | 111 | $100.22 | |
| 87088 | <1% | 14 | $87.76 | |
| 95117 | <1% | 71 | $60.18 | |
| 87400 | <1% | 12 | $52.74 | |
| 83986 | <1% | 36 | $26.16 | |
| 99490 | Ccm add 20min | <1% | 15 | $24.94 |
| 93296 | <1% | 23 | $22.48 | |
| 3044F | <1% | 74 | $20.02 | |
| 3045F | <1% | 84 | $0.06 | |
| 3051F | <1% | 29 | $0.03 | |
| 3052F | <1% | 18 | $0.01 | |
| 99024 | 0% | 5,332 | $0.00 | |
| 3008F | 0% | 12 | $0.00 | |
| 90670 | 0% | 14 | $0.00 | |
| 90734 | 0% | 15 | $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 officialKARPF, MICHAEL (EVPHA)
Parent organizationKENTUCKY MEDICAL SERVICES FOUNDATION
| Provider | Location | Paid |
|---|---|---|
| Kentucky Medical Services Foundation | Lexington, KY | $3.37M |
| Kentucky Medical Services Foundation | Lexington, KY | $3.26M |
| Kentucky Medical Services Foundation | Lexington, KY | $1.17M |
| Kentucky Medical Services Foundation | Lexington, KY | $668K |
| Kentucky Medical Services Foundation | Lexington, KY | $590K |
| Kentucky Medical Services Foundation | Lexington, KY | $461K |
| Kentucky Medical Services Foundation | Lexington, KY | $206K |
| Kentucky Medical Services Foundation | Lexington, KY | $112K |
| Kentucky Medical Services Foundation | Lexington, KY | $74K |
| Kentucky Medical Services Foundation | Lexington, KY | $36K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.