Physician
Pediatric Associates
Pediatric Associates was paid $1.24M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES
STANTON, KY 40380
STANTON, KY 40380
33aNPI1013954510assigned 06/01/2006
33bProvider typePediatrics Physician
28Total paid$1.24M
24GClaims47,356
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Kentucky
Rank by total paid#25 of 156
Median peer was paid$41K
This provider vs. median30×
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 | 10,115 | $237K | |
| 2019 | 8,506 | $205K | |
| 2020 | 4,910 | $150K | |
| 2021 | 5,810 | $158K | |
| 2022 | 5,562 | $153K | |
| 2023 | 6,801 | $180K | |
| 2024incomplete | 5,652 | $157K |
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 | 78% | 33,796 | 24,148 | $962K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 7.1% | 2,161 | 1,256 | $88K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.2% | 3,029 | 2,763 | $40K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.8% | 1,379 | 1,316 | $35K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 802 | 674 | $18K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 301 | 287 | $16K |
| 90461 | 1.0% | 499 | 480 | $13K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 177 | 173 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 775 | 653 | $10K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 421 | 388 | $9K |
| 80305 | <1% | 854 | 493 | $8K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 128 | 125 | $8K |
21 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 107 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,350 | $6K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 38 | $2K |
| 84703 | <1% | 224 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 26 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 40 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 44 | $1K |
| 87807 | <1% | 76 | $937.58 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 85 | $748.88 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 51 | $515.80 |
| 90756 | <1% | 31 | $431.67 | |
| Q3014 | Telehealth originating site facility fee | <1% | 143 | $421.20 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 35 | $287.51 |
| 90686 | <1% | 139 | $169.93 | |
| 90633 | <1% | 214 | $147.20 | |
| 90670 | <1% | 56 | $110.40 | |
| 81002 | <1% | 219 | $105.06 | |
| 90734 | <1% | 77 | $36.80 | |
| 90688 | <1% | 37 | $16.83 | |
| 90715 | 0% | 16 | $0.00 | |
| 90651 | 0% | 26 | $0.00 |
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 officialSO, DJIEN (OPERATING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Associates | Pikeville, KY | $2.35M |
| Aaron K. Jonan Memorial Clinic INC. | Jackson, KY | $1.84M |
| Salyersville Medical Center, LLC | Salyersville, KY | $1.20M |
| Medical Investment Trust | Pikeville, KY | $841K |
| Pediatric Associates | Hazard, KY | $565K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.