Physician
MT Sterling Pediatrics
MT Sterling Pediatrics was paid $29K by Medicaid between Oct 2018 and Nov 2018, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoMT STERLING PEDIATRICS
MOREHEAD, KY 40351
MOREHEAD, KY 40351
33aNPI1013313162assigned 11/17/2014
33bProvider typeFamily Medicine Physician
28Total paid$29K
24GClaims944
24DCodes billed17
24AFirst – last monthOct 2018 – Nov 2018
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#229 of 352
Median peer was paid$90K
This provider vs. median0.3×
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 | 944 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 32% | 202 | 186 | $9K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.5% | 121 | 121 | $3K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 9.2% | 32 | 30 | $3K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 9.0% | 25 | 25 | $3K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 9.0% | 81 | 78 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.9% | 80 | 74 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.6% | 37 | 37 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.6% | 87 | 71 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.4% | 14 | 13 | $707.96 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.1% | 45 | 44 | $598.19 |
| 83655 | 1.3% | 34 | 34 | $378.51 | |
| 99177 | <1% | 17 | 17 | $241.77 |
5 more codes
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 officialFOUCH, BRANDY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| MT. Sterling Pediatrics | Mt Sterling, KY | $3.34M |
| MT. Sterling Pediatrics PSC | Mt Sterling, KY | $2.91M |
| Morehead Pediatrics | Morehead, KY | $976K |
| Premier Medical Associates | Mt Sterling, KY | $38K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.