Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Russellville › NPI 1043217169
Physician

Elder, Ronald

Elder, Ronald was paid $203K by Medicaid between Jan 2018 and Jul 2022, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.

33Billing provider infoELDER, RONALD
RUSSELLVILLE, KY 42276
33aNPI1043217169assigned 07/05/2005
33bProvider typePediatrics Physician
28Total paid$203K
24GClaims4,449
24DCodes billed5
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers

Next to other Pediatrics Physician providers in Kentucky

Rank by total paid#46 of 156
Median peer was paid$41K
This provider vs. median4.9×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20181,363$65K
20191,225$54K
2020779$38K
2021714$32K
2022368$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 83% 4,005 3,361 $169K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10% 279 262 $21K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.3% 67 66 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.1% 55 54 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.8% 43 40 $4K

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.