Quality Care for Kids

Quality Care for Kids was paid $2.46M by Medicaid between Jan 2018 and Jan 2019, across 7 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 52% of everything it billed.

33Billing provider infoQUALITY CARE FOR KIDS
FRANKFORT, KY 40601

33aNPI1033285960assigned 11/24/2006

33bProvider typeOphthalmology Physician

28Total paid$2.46M

24GClaims54,021

24DCodes billed7

24AFirst – last monthJan 2018 – Jan 2019

Compared with peers

Next to other Ophthalmology Physician providers in Kentucky

Rank by total paid#2 of 110

Median peer was paid$15K

This provider vs. median159×

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	49,316	$2.21M
2019	4,705	$254K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	52%	13,124	12,743	$1.27M
92588		31%	13,123	12,742	$752K
92567		8.3%	13,122	12,743	$204K
92552		7.0%	13,120	12,741	$173K
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	1.0%	428	428	$26K
99173		<1%	770	745	$18K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	334	283	$16K

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 officialSTIVERS, MICHELLE (PRESIDENT)