Supplier
Innovative Solutions R & D LLC
Innovative Solutions R & D LLC was paid $240K by Medicaid between Oct 2019 and Sep 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoINNOVATIVE SOLUTIONS R & D LLC
SOMERSET, KY 42501
SOMERSET, KY 42501
33aNPI1952875924assigned 01/14/2019
33bProvider typePharmacy
28Total paid$240K
24GClaims8,017
24DCodes billed13
24AFirst – last monthOct 2019 – Sep 2024
Compared with peers
Next to other Pharmacy providers in Kentucky
Rank by total paid#6 of 54
Median peer was paid$84.85
This provider vs. median2,827×
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 | |
|---|---|---|---|
| 2019 | 23 | $556.50 | |
| 2020 | 1,079 | $32K | |
| 2021 | 2,854 | $65K | |
| 2022 | 1,617 | $42K | |
| 2023 | 1,941 | $87K | |
| 2024incomplete | 503 | $13K |
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 | 48% | 4,326 | 3,429 | $116K |
| J2315 | Injection, naltrexone, depot form, 1 mg | 16% | 27 | 26 | $39K |
| 99484 | 9.8% | 946 | 913 | $24K | |
| 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 | 7.2% | 475 | 398 | $17K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.2% | 224 | 202 | $10K |
| 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 | 4.1% | 139 | 133 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.7% | 767 | 678 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 334 | 306 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.6% | 638 | 368 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 74 | 66 | $2K |
| 99201 | <1% | 25 | 21 | $289.25 | |
| 90688 | <1% | 21 | 20 | $274.68 |
1 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 21 | $234.08 |
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 officialCROWLEY, JOSHUA (OWNER)