Medicare provider payments and utilization data for Kentucky (KY)
Kentucky received $10.7B in total Medicare provider payments across 10 years of data.
The top specialty by spending is Nurse Practitioner, accounting for $91.8M in payments across 4.4K providers.
In 2023, 17.6K providers were actively billing Medicare in Kentucky.
AI-generated analysis based on Medicare payment data.
Providers in this state flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $1.1B | 31.7M | 13.9K | — |
| 2015 | $1.1B | 32.9M | 14.4K | +2.1% |
| 2016 | $1.1B | 32.8M | 15.1K | -0.2% |
| 2017 | $1.1B | 33.6M | 15.6K | +3.0% |
| 2018 | $1.1B | 33.9M | 16.0K | +1.3% |
| 2019 | $1.1B | 32.5M | 16.5K | +0.9% |
| 2020 | $990.1M | 27.0M | 16.5K | -13.7% |
| 2021 | $1.1B | 28.2M | 17.1K | +9.8% |
| 2022 | $1.0B | 28.4M | 17.4K | -5.6% |
| 2023 | $988.0M | 27.7M | 17.6K | -3.7% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $101.7M | 1.4M | 7.2K |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $55.5M | 1.1M | 7.2K |
| J0178 | Injection, aflibercept, 1 mg | $36.1M | 52.4K | 42 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $33.0M | 565.2K | 2.9K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $26.0M | 71.4K | 157 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $25.4M | 285.9K | 1.8K |
| 66984 | Removal of cataract with insertion of prosthetic lens | $20.7M | 508.2K | 308 |
| 99285 | Emergency department visit with high level of medical decision making | $19.0M | 145.2K | 1.0K |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $16.7M | 132.0K | 1.9K |
| A0425 | Ground mileage, per statute mile | $16.7M | 2.1M | 164 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $15.4M | 149.2K | 3.2K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $14.6M | 137.0K | 1.6K |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | $12.9M | 386.6K | 31 |
| 99291 | Critical care, first 30-74 minutes | $12.7M | 78.6K | 1.0K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $11.6M | 37.9K | 155 |
| J2777 | Injection, faricimab-svoa, 0.1 mg | $11.6M | 399.9K | 29 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $11.3M | 165.8K | 465 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $10.5M | 636.0K | 954 |
| 97530 | Therapy procedure using functional activities | $9.8M | 432.8K | 840 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $9.3M | 98.6K | 2.1K |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Nurse Practitioner | $91.8M | 4.4K | $20.7K |
| Ophthalmology | $84.5M | 187 | $452.0K |
| Ambulance Service Provider | $76.4M | 185 | $413.0K |
| Internal Medicine | $72.7M | 990 | $73.5K |
| Family Practice | $54.2M | 1.1K | $47.6K |
| Dermatology | $39.8M | 129 | $308.8K |
| Ambulatory Surgical Center | $38.8M | 34 | $1.1M |
| Physical Therapist in Private Practice | $32.2M | 883 | $36.5K |
| Clinical Laboratory | $32.0M | 35 | $913.7K |
| Diagnostic Radiology | $27.8M | 333 | $83.5K |
| Rheumatology | $27.5M | 56 | $491.1K |
| Orthopedic Surgery | $26.9M | 294 | $91.4K |
| Cardiology | $26.1M | 233 | $112.1K |
| Physician Assistant | $25.9M | 1.1K | $22.7K |
| Emergency Medicine | $25.1M | 602 | $41.8K |
| Pulmonary Disease | $17.6M | 168 | $104.9K |
| Podiatry | $16.0M | 158 | $101.0K |
| Nephrology | $15.6M | 121 | $129.2K |
| Mass Immunizer Roster Biller | $14.6M | 496 | $29.4K |
| Optometry | $14.1M | 514 | $27.5K |
| Hematology-Oncology | $13.7M | 117 | $117.5K |
| Hospitalist | $13.3M | 239 | $55.5K |
| Interventional Cardiology | $11.7M | 73 | $160.1K |
| Radiation Oncology | $10.8M | 64 | $168.0K |
| Pain Management | $10.7M | 49 | $218.9K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.