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KENTUCKY MEDICAL SERVICES FOUNDATION, INC

Internal Medicine·LEXINGTON, KY·NPI: 1326091448Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $110.3M is at the 50th percentile among 26 Internal Medicine providers.

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

Total Paid

$110.3M

$110,266,383

Total Claims

2.9M

Beneficiaries

2.2M

1.3 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$11.6M
+11%
2019
$12.9M
+8%
2020
$13.9M
+19%
2021
$16.6M
+4%
2022
$17.3M
+18%
2023
$20.5M
-15%
2024
$17.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99469 (Subsequent intensive care, very low birth weight infant)) accounts for 8% of total spending.

99469Normal range

Subsequent intensive care, very low birth weight infant

$9.2M

36K claims · 8.4%

Your Cost: $258.34/claim|Median: $293.45
0.9× median
99214Normal range

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

$8.7M

181K claims · 7.9%

Your Cost: $48.40/claim|Median: $53.41
0.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$7.4M

84K claims · 6.7%

Your Cost: $88.88/claim|Median: $85.65
1.0× median
99284Normal range

Emergency dept visit, high complexity

$6.9M

112K claims · 6.3%

Your Cost: $61.87/claim|Median: $69.51
0.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$6.6M

230K claims · 6.0%

Your Cost: $28.60/claim|Median: $23.99
1.2× median
99213Normal range

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

$6.2M

180K claims · 5.7%

Your Cost: $34.70/claim|Median: $37.81
0.9× median
99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$5.9M

23K claims · 5.3%

Your Cost: $252.79/claim|Median: $307.98
0.8× median
99283Normal range

Emergency dept visit, moderate complexity

$4.6M

111K claims · 4.2%

Your Cost: $41.51/claim|Median: $42.48
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$3.7M

94K claims · 3.3%

Your Cost: $39.08/claim|Median: $35.30
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$2.7M

47K claims · 2.5%

Your Cost: $57.70/claim|Median: $65.76
0.9× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$2.7M

25K claims · 2.4%

Your Cost: $107.51/claim|Median: $121.58
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$2.5M

37K claims · 2.3%

Your Cost: $67.04/claim|Median: $74.09
0.9× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$2.1M

25K claims · 1.9%

Your Cost: $83.84/claim|Median: $98.15
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.8M

41K claims · 1.6%

Your Cost: $43.96/claim|Median: $54.68
0.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$1.7M

235K claims · 1.5%

Your Cost: $7.04/claim|Median: $5.60
1.3× median
70553Normal range

MRI brain without contrast, then with contrast

$1.5M

14K claims · 1.4%

Your Cost: $106.28/claim|Median: $133.68
0.8× median
99291Normal range

Critical care, first 30-74 minutes

$1.4M

15K claims · 1.3%

Your Cost: $98.48/claim|Median: $101.24
1.0× median
71045Normal range

Chest X-ray, single view

$1.4M

279K claims · 1.3%

Your Cost: $4.96/claim|Median: $4.93
1.0× median
70450Normal range

CT head/brain without contrast

$995K

40K claims · 0.9%

Your Cost: $25.11/claim|Median: $45.53
0.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$891K

21K claims · 0.8%

Your Cost: $42.70/claim|Median: $37.22
1.1× median
99243Normal range

Office or other outpatient consultation, low complexity

$888K

11K claims · 0.8%

Your Cost: $77.21/claim|Median: $82.43
0.9× median
71275Normal range

CT angiography, chest, with contrast

$796K

24K claims · 0.7%

Your Cost: $33.49/claim|Median: $92.96
0.4× median
69436Normal range

Tympanostomy, general anesthesia

$784K

5,804 claims · 0.7%

Your Cost: $135.10/claim|Median: $205.50
0.7× median
95720Normal range

$750K

6,817 claims · 0.7%

Your Cost: $109.97/claim|Median: $120.95
0.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$709K

16K claims · 0.6%

Your Cost: $43.28/claim|Median: $58.55
0.7× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$691K

9,775 claims · 0.6%

Your Cost: $70.70/claim|Median: $106.79
0.7× median
70496Normal range

$672K

14K claims · 0.6%

Your Cost: $47.78/claim|Median: $78.92
0.6× median
99204Normal range

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

$661K

8,248 claims · 0.6%

Your Cost: $80.19/claim|Median: $84.03
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$627K

11K claims · 0.6%

Your Cost: $58.60/claim|Median: $75.18
0.8× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$623K

7,560 claims · 0.6%

Your Cost: $82.46/claim|Median: $103.70
0.8× median
70498Normal range

$604K

13K claims · 0.5%

Your Cost: $46.58/claim|Median: $58.88
0.8× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$570K

3,129 claims · 0.5%

Your Cost: $182.27/claim|Median: $331.68
0.5× median
93304Normal range

$534K

13K claims · 0.5%

Your Cost: $42.24/claim|Median: $54.29
0.8× median
99223Normal range

Initial hospital care, per day, high complexity

$525K

6,080 claims · 0.5%

Your Cost: $86.41/claim|Median: $67.32
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$516K

9,768 claims · 0.5%

Your Cost: $52.78/claim|Median: $69.35
0.8× median
72125Normal range

CT cervical spine without contrast

$510K

15K claims · 0.5%

Your Cost: $34.75/claim|Median: $32.30
1.1× median
71260Normal range

CT chest with contrast

$443K

12K claims · 0.4%

Your Cost: $35.87/claim|Median: $48.36
0.7× median
76705Normal range

Ultrasound, abdominal, limited

$417K

21K claims · 0.4%

Your Cost: $19.95/claim|Median: $23.81
0.8× median
74018Normal range

$411K

79K claims · 0.4%

Your Cost: $5.18/claim|Median: $7.00
0.7× median
59025Normal range

Fetal non-stress test

$406K

16K claims · 0.4%

Your Cost: $25.69/claim|Median: $26.45
1.0× median
99203Normal range

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

$404K

7,059 claims · 0.4%

Your Cost: $57.25/claim|Median: $57.85
1.0× median
73721Normal range

MRI joint of lower extremity without contrast

$390K

2,593 claims · 0.4%

Your Cost: $150.39/claim|Median: $127.34
1.2× median
99254Normal range

$378K

4,508 claims · 0.3%

Your Cost: $83.83/claim|Median: $81.43
1.0× median
95951Normal range

$377K

3,441 claims · 0.3%

Your Cost: $109.53/claim|Median: $183.28
0.6× median
71250Normal range

CT scan of chest without contrast

$376K

11K claims · 0.3%

Your Cost: $32.77/claim|Median: $39.11
0.8× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$372K

6,983 claims · 0.3%

Your Cost: $53.26/claim|Median: $43.85
1.2× median
70551Normal range

MRI brain without contrast

$363K

6,181 claims · 0.3%

Your Cost: $58.65/claim|Median: $85.39
0.7× median
99245Normal range

Office consultation, high complexity

$356K

2,766 claims · 0.3%

Your Cost: $128.80/claim|Median: $143.30
0.9× median
93325Normal range

$339K

28K claims · 0.3%

Your Cost: $12.04/claim|Median: $14.61
0.8× median
71046Normal range

Chest X-ray, 2 views

$337K

45K claims · 0.3%

Your Cost: $7.48/claim|Median: $8.92
0.8× median

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