Physician
Ronald Fulkerson MD PSC
Ronald Fulkerson MD PSC was paid $269K by Medicaid between Jan 2018 and May 2020, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoRONALD FULKERSON MD PSC
WINCHESTER, KY 40391
WINCHESTER, KY 40391
33aNPI1982861019assigned 05/16/2008
33bProvider typePediatrics Physician
28Total paid$269K
24GClaims11,700
24DCodes billed22
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other Pediatrics Physician providers in Kentucky
Rank by total paid#43 of 156
Median peer was paid$41K
This provider vs. median6.5×
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 | 5,858 | $124K | |
| 2019 | 4,524 | $114K | |
| 2020 | 1,318 | $31K |
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 | 51% | 3,264 | 2,686 | $136K |
| 92567 | 15% | 2,708 | 2,283 | $39K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 8.9% | 1,692 | 1,543 | $24K |
| 90461 | 5.5% | 477 | 464 | $15K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.4% | 1,024 | 989 | $15K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 109 | 102 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.2% | 400 | 193 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 81 | 78 | $6K |
| 92551 | 1.6% | 349 | 336 | $4K | |
| 90633 | 1.6% | 451 | 441 | $4K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 249 | 244 | $2K |
| 81000 | <1% | 603 | 581 | $2K |
10 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 22 | $2K |
| J0558 | Injection, penicillin g benzathine and penicillin g procaine, 100,000 units | <1% | 13 | $1K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 85 | $931.11 |
| 90686 | <1% | 74 | $638.77 | |
| 90688 | <1% | 27 | $382.64 | |
| 90651 | <1% | 16 | $260.60 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $241.06 |
| 90734 | <1% | 17 | $168.40 | |
| 90670 | <1% | 12 | $130.10 | |
| 90714 | <1% | 14 | $130.00 |
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 officialFULKERSON, RONALD (CEO PRESIDENT)