Physician
Eastern Kentucky Tender Care Pediatrics LLC
Eastern Kentucky Tender Care Pediatrics LLC was paid $5.24M by Medicaid between Jan 2018 and Jul 2024, across 76 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoEASTERN KENTUCKY TENDER CARE PEDIATRICS LLC
PRESTONSBURG, KY 41653
PRESTONSBURG, KY 41653
33aNPI1043437254assigned 04/19/2007
33bProvider typePediatrics Physician
28Total paid$5.24M
24GClaims208,879
24DCodes billed76
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Pediatrics Physician providers in Kentucky
Rank by total paid#5 of 156
Median peer was paid$41K
This provider vs. median127×
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 | 30,365 | $756K | |
| 2019 | 33,270 | $832K | |
| 2020 | 34,926 | $900K | |
| 2021 | 39,806 | $994K | |
| 2022 | 42,249 | $1.00M | |
| 2023 | 24,512 | $629K | |
| 2024incomplete | 3,751 | $127K |
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 | 55% | 90,576 | 81,730 | $2.89M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.8% | 10,933 | 10,753 | $408K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.7% | 5,656 | 5,550 | $352K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.6% | 21,615 | 20,665 | $291K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.5% | 4,807 | 4,572 | $289K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 3,737 | 3,638 | $214K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.5% | 13,032 | 6,544 | $182K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 1,602 | 1,563 | $102K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.4% | 2,017 | 1,955 | $76K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.2% | 1,885 | 1,305 | $64K |
| 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 | 1.2% | 1,438 | 1,290 | $64K |
| 99051 | <1% | 16,055 | 15,196 | $50K |
64 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,875 | $34K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 577 | $31K |
| 87807 | <1% | 2,359 | $28K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 847 | $22K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 467 | $20K |
| 92552 | <1% | 1,740 | $17K | |
| 99173 | <1% | 568 | $16K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 726 | $14K |
| 90461 | <1% | 396 | $13K | |
| 99381 | <1% | 136 | $10K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 844 | $10K |
| 99490 | Ccm add 20min | <1% | 191 | $4K |
| 99382 | <1% | 58 | $4K | |
| 97802 | <1% | 436 | $4K | |
| 0001A | <1% | 83 | $3K | |
| 99383 | <1% | 48 | $3K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 181 | $3K |
| 0071A | <1% | 80 | $3K | |
| 96127 | <1% | 782 | $2K | |
| 0072A | <1% | 60 | $2K | |
| 0002A | <1% | 58 | $2K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 157 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 36 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 262 | $2K |
| 99442 | <1% | 42 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $1K |
| 99460 | <1% | 31 | $1K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 465 | $837.85 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 29 | $708.62 |
| 90633 | <1% | 3,190 | $682.20 | |
| 81002 | <1% | 1,652 | $648.09 | |
| 90686 | <1% | 2,458 | $376.41 | |
| 90474 | <1% | 37 | $316.00 | |
| 90670 | <1% | 3,125 | $303.10 | |
| 90716 | <1% | 692 | $290.71 | |
| 99050 | <1% | 45 | $285.75 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 40 | $170.98 |
| 83655 | <1% | 13 | $150.36 | |
| 92567 | <1% | 14 | $140.78 | |
| 90723 | <1% | 1,721 | $133.15 | |
| 90734 | <1% | 315 | $88.06 | |
| 90707 | <1% | 776 | $62.42 | |
| 90647 | <1% | 1,744 | $46.83 | |
| 82962 | <1% | 26 | $42.64 | |
| 90634 | <1% | 103 | $29.57 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 33 | $0.10 |
| 90680 | <1% | 1,938 | $0.03 | |
| 90715 | 0% | 240 | $0.00 | |
| 90671 | 0% | 416 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 356 | $0.00 |
| 90685 | 0% | 103 | $0.00 | |
| 90700 | 0% | 58 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 543 | $0.00 |
| 90710 | 0% | 65 | $0.00 | |
| 90649 | 0% | 21 | $0.00 | |
| 90697 | 0% | 784 | $0.00 | |
| 90696 | 0% | 166 | $0.00 | |
| 90651 | 0% | 84 | $0.00 | |
| 90619 | 0% | 65 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 21 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 78 | $0.00 |
| 90677 | 0% | 14 | $0.00 | |
| 87430 | 0% | 26 | $0.00 | |
| 1111F | 0% | 16 | $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 officialHANA, ANTOIN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Frontier Behavioral Health Center PLLC | Salyersville, KY | $24.21M |
| Albaree Health Services LLC | Salyersville, KY | $10.15M |
| Martin County Rural Health Clinic PLLC | Inez, KY | $4.23M |
| Alpha Health Services PLLC | Prestonsburg, KY | $1.75M |
| Frontier Medical Associates of Prestonsburg INC | Prestonsburg, KY | $1.73M |
| Frontier Medical Associates of Paintsville INC | Paintsville, KY | $1.03M |
| Samaritan Family Care LLC | Paintsville, KY | $359K |
| Frontier Vision LLC | Prestonsburg, KY | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.