University Pediatric Surgery Associates, PSC

University Pediatric Surgery Associates, PSC was paid $27K by Medicaid between Jan 2018 and Feb 2020, across 4 billing codes. Its largest line is 99243, — 82% of everything it billed.

33Billing provider infoUNIVERSITY PEDIATRIC SURGERY ASSOCIATES, PSC
LOUISVILLE, KY 40202

33aNPI1033208525assigned 10/12/2006

33bProvider typePediatric Surgery Physician

28Total paid$27K

24GClaims374

24DCodes billed4

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Pediatric Surgery Physician providers in Kentucky

Rank by total paid#1 of 5

Median peer was paid$5K

This provider vs. median5.4×

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	305	$22K
2019	40	$3K
2020	29	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99243		82%	270	257	$22K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.0%	63	58	$2K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	5.0%	27	12	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.5%	14	13	$930.33

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 officialSACRA, PATTI (ADMINISTRATOR)