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KENTUCKYONE HEALTH MEDICAL GROUP, INC.

Family Medicine·LEXINGTON, KY·NPI: 1104875970Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $38.8M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$38.8M

$38,761,146

Total Claims

1.2M

Beneficiaries

961K

1.3 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$8.4M
-36%
2019
$5.4M
-8%
2020
$4.9M
+20%
2021
$5.9M
-17%
2022
$4.9M
+5%
2023
$5.2M
-20%
2024
$4.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 24% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$9.4M

242K claims · 24.2%

Your Cost: $38.70/claim|Median: $53.41
0.7× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$7.4M

263K claims · 19.1%

Your Cost: $28.16/claim|Median: $37.81
0.7× median
99291Normal range

Critical care, first 30-74 minutes

$2.3M

28K claims · 5.8%

Your Cost: $79.75/claim|Median: $101.24
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.6M

36K claims · 4.1%

Your Cost: $43.96/claim|Median: $54.68
0.8× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$1.3M

18K claims · 3.3%

Your Cost: $68.23/claim|Median: $84.03
0.8× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$1.2M

2,282 claims · 3.1%

Your Cost: $533.77/claim|Median: $470.36
1.1× median
93010Normal range

Electrocardiogram, interpretation and report only

$1.2M

175K claims · 3.1%

Your Cost: $6.79/claim|Median: $5.60
1.2× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$1.1M

22K claims · 2.8%

Your Cost: $49.83/claim|Median: $57.85
0.9× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$878K

8,034 claims · 2.3%

Your Cost: $109.31/claim|Median: $121.58
0.9× median
76819Normal range

Fetal biophysical profile with non-stress test

$756K

14K claims · 2.0%

Your Cost: $53.88/claim|Median: $49.45
1.1× median
99233Normal range

Subsequent hospital care, per day, high complexity

$677K

23K claims · 1.7%

Your Cost: $29.31/claim|Median: $35.30
0.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$649K

10K claims · 1.7%

Your Cost: $62.86/claim|Median: $58.55
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$581K

25K claims · 1.5%

Your Cost: $22.99/claim|Median: $23.99
1.0× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$574K

50K claims · 1.5%

Your Cost: $11.59/claim|Median: $9.70
1.2× median
43239Normal range

Upper GI endoscopy with biopsy

$563K

6,267 claims · 1.5%

Your Cost: $89.84/claim|Median: $151.68
0.6× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$490K

17K claims · 1.3%

Your Cost: $28.89/claim|Median: $29.03
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$467K

6,521 claims · 1.2%

Your Cost: $71.65/claim|Median: $75.18
1.0× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$446K

4,180 claims · 1.1%

Your Cost: $106.59/claim|Median: $106.79
1.0× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$436K

11K claims · 1.1%

Your Cost: $38.78/claim|Median: $17.85
2.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$405K

7,002 claims · 1.0%

Your Cost: $57.90/claim|Median: $69.35
0.8× median
95720Normal range

$352K

3,304 claims · 0.9%

Your Cost: $106.68/claim|Median: $120.95
0.9× median
76820Top 25%

$304K

6,267 claims · 0.8%

Your Cost: $48.51/claim|Median: $31.79
1.5× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$255K

1,297 claims · 0.7%

Your Cost: $196.50/claim|Median: $255.17
0.8× median
59409Normal range

Vaginal delivery only

$224K

320 claims · 0.6%

Your Cost: $700.62/claim|Median: $619.91
1.1× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$215K

5,759 claims · 0.6%

Your Cost: $37.42/claim|Median: $39.63
0.9× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$213K

6,525 claims · 0.5%

Your Cost: $32.62/claim|Median: $6.93
4.7× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$204K

3,694 claims · 0.5%

Your Cost: $55.33/claim|Median: $106.14
0.5× median
99292Normal range

$197K

4,044 claims · 0.5%

Your Cost: $48.71/claim|Median: $57.64
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$193K

8,999 claims · 0.5%

Your Cost: $21.48/claim|Median: $25.06
0.9× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$193K

3,093 claims · 0.5%

Your Cost: $62.32/claim|Median: $74.78
0.8× median
95951Normal range

$175K

1,784 claims · 0.5%

Your Cost: $98.04/claim|Median: $183.28
0.5× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$144K

11K claims · 0.4%

Your Cost: $13.54/claim|Median: $9.80
1.4× median
64615Normal range

$140K

1,989 claims · 0.4%

Your Cost: $70.34/claim|Median: $82.82
0.8× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$140K

3,756 claims · 0.4%

Your Cost: $37.18/claim|Median: $37.22
1.0× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$131K

2,349 claims · 0.3%

Your Cost: $55.80/claim|Median: $47.65
1.2× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$122K

1,298 claims · 0.3%

Your Cost: $94.34/claim|Median: $233.73
0.4× median
95886Normal range

$118K

1,448 claims · 0.3%

Your Cost: $81.37/claim|Median: $67.70
1.2× median
99223Normal range

Initial hospital care, per day, high complexity

$117K

1,851 claims · 0.3%

Your Cost: $63.00/claim|Median: $67.32
0.9× median
90837Normal range

Psychotherapy, 60 minutes

$109K

1,927 claims · 0.3%

Your Cost: $56.77/claim|Median: $85.66
0.7× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$100K

1,301 claims · 0.3%

Your Cost: $76.63/claim|Median: $70.87
1.1× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$99K

3,709 claims · 0.3%

Your Cost: $26.68/claim|Median: $22.44
1.2× median
J1040Normal range

$94K

11K claims · 0.2%

Your Cost: $8.97/claim|Median: $6.87
1.3× median
95718Normal range

$92K

1,260 claims · 0.2%

Your Cost: $72.98/claim|Median: $78.85
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$90K

1,522 claims · 0.2%

Your Cost: $59.07/claim|Median: $74.09
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$80K

1,139 claims · 0.2%

Your Cost: $70.46/claim|Median: $74.82
0.9× median
99231Normal range

Subsequent hospital care, per day, low complexity

$76K

4,022 claims · 0.2%

Your Cost: $18.83/claim|Median: $16.77
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$73K

6,568 claims · 0.2%

Your Cost: $11.13/claim|Median: $11.48
1.0× median
76830Normal range

Ultrasound, transvaginal

$73K

1,150 claims · 0.2%

Your Cost: $63.45/claim|Median: $57.47
1.1× median
99222Normal range

Initial hospital care, per day, moderate complexity

$70K

1,623 claims · 0.2%

Your Cost: $43.20/claim|Median: $51.25
0.8× median
87804Normal range

Influenza virus detection, rapid test

$69K

5,737 claims · 0.2%

Your Cost: $11.99/claim|Median: $12.59
1.0× median

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