Clinic
Physician Management Services PSC
Physician Management Services PSC was paid $357K by Medicaid between Jan 2018 and Jun 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoPHYSICIAN MANAGEMENT SERVICES PSC
BOWLING GREEN, KY 42101
BOWLING GREEN, KY 42101
33aNPI1962462382assigned 03/28/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$357K
24GClaims27,913
24DCodes billed64
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Kentucky
Rank by total paid#14 of 27
Median peer was paid$357K
This provider vs. median1.0×
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 | 5,386 | $73K | |
| 2019 | 2,816 | $41K | |
| 2020 | 2,211 | $16K | |
| 2021 | 3,394 | $57K | |
| 2022 | 4,735 | $87K | |
| 2023 | 6,906 | $62K | |
| 2024incomplete | 2,465 | $22K |
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 | 39% | 5,317 | 4,491 | $138K |
| 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 | 33% | 3,527 | 2,946 | $120K |
| 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 | 8.3% | 477 | 418 | $30K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 5.4% | 433 | 382 | $19K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.8% | 1,130 | 744 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.7% | 84 | 80 | $6K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.5% | 309 | 95 | $5K |
| 93297 | 1.3% | 747 | 671 | $5K | |
| 93000 | 1.1% | 325 | 274 | $4K | |
| 36415 | Collection of venous blood by venipuncture | 1.0% | 1,034 | 782 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 262 | 141 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 40 | 40 | $2K |
52 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 227 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 104 | $2K |
| 99385 | <1% | 28 | $2K | |
| 87449 | <1% | 161 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 137 | $2K |
| 93294 | <1% | 126 | $1K | |
| 99386 | <1% | 14 | $1K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 75 | $1K |
| 90674 | <1% | 43 | $923.08 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 37 | $682.55 |
| A4212 | Non-coring needle or stylet with or without catheter | <1% | 471 | $274.02 |
| 96523 | <1% | 533 | $260.48 | |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | <1% | 324 | $253.21 |
| 72100 | <1% | 13 | $247.68 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $171.26 |
| 93290 | <1% | 14 | $152.42 | |
| 36591 | <1% | 328 | $146.88 | |
| 3044F | <1% | 730 | $120.06 | |
| 99406 | <1% | 15 | $93.61 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 27 | $39.93 |
| A4210 | Needle-free injection device, each | <1% | 21 | $12.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 28 | $10.17 |
| 3008F | <1% | 1,432 | $0.70 | |
| 3074F | <1% | 335 | $0.30 | |
| 3078F | <1% | 234 | $0.26 | |
| 3079F | <1% | 151 | $0.13 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,289 | $0.06 |
| 1159F | <1% | 366 | $0.04 | |
| 1160F | <1% | 420 | $0.04 | |
| 1036F | 0% | 1,031 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 162 | $0.00 |
| 3048F | 0% | 190 | $0.00 | |
| 1220F | 0% | 93 | $0.00 | |
| 2000F | 0% | 760 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 62 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 477 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 49 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 590 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 190 | $0.00 |
| 3049F | 0% | 86 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 25 | $0.00 |
| 1034F | 0% | 229 | $0.00 | |
| 3075F | 0% | 45 | $0.00 | |
| G8967 | Fda approved oral anticoagulant is prescribed | 0% | 16 | $0.00 |
| 4004F | 0% | 771 | $0.00 | |
| 3725F | 0% | 734 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 38 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 281 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 601 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 43 | $0.00 |
| 4035F | 0% | 33 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 25 | $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 officialSAHETYA, KALIDAS (SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Physician Management Services PSC | Brownsville, KY | $387K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.