Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEDIATRIC ASSOCIATES

NPI: 1013954510 · STANTON, KY 40380 · Pediatrics Physician · NPI assigned 06/01/2006

$1.24M
Total Medicaid Paid
47,356
Total Claims
35,498
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSO, DJIEN (OPERATING MANAGER)
NPI Enumeration Date06/01/2006

Related Entities

Other providers sharing the same authorized official: SO, DJIEN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 5,652 $157K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33,796 24,148 $962K
90832 Psychotherapy, 30 minutes with patient 2,161 1,256 $88K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,029 2,763 $40K
90460 Immunization administration through 18 years of age via any route, first or only component 1,379 1,316 $35K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 802 674 $18K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 301 287 $16K
90461 499 480 $13K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 177 173 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 775 653 $10K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 421 388 $9K
80305 854 493 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 128 125 $8K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 107 106 $6K
36415 Collection of venous blood by venipuncture 1,350 1,236 $6K
90791 Psychiatric diagnostic evaluation 38 28 $2K
84703 224 209 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 26 24 $1K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 40 36 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 44 42 $1K
87807 76 73 $937.58
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 85 48 $748.88
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 51 47 $515.80
90756 31 29 $431.67
Q3014 Telehealth originating site facility fee 143 86 $421.20
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 35 29 $287.51
90686 139 133 $169.93
90633 214 204 $147.20
90670 56 55 $110.40
81002 219 206 $105.06
90734 77 75 $36.80
90688 37 36 $16.83
90715 16 14 $0.00
90651 26 26 $0.00