Medicaid Provider Spending

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

MT. STERLING PEDIATRICS

NPI: 1063650471 · MT STERLING, KY 40353 · Physician Assistant · NPI assigned 01/23/2009

$3.34M
Total Medicaid Paid
103,922
Total Claims
94,873
Beneficiaries
49
Codes Billed
2018-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialFOUCH, BRANDY (OWNER)
NPI Enumeration Date01/23/2009

Related Entities

Other providers sharing the same authorized official: FOUCH, BRANDY

ProviderCityStateTotal Paid
MT. STERLING PEDIATRICS PSC MT STERLING KY $2.91M
MOREHEAD PEDIATRICS MOREHEAD KY $976K
PREMIER MEDICAL ASSOCIATES MT STERLING KY $38K
MT STERLING PEDIATRICS MOREHEAD KY $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 32,139 $1.02M
2019 34,597 $1.21M
2020 29,011 $892K
2021 8,175 $220K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,170 13,425 $758K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 5,231 4,048 $460K
96110 Developmental screening, with scoring and documentation, per standardized instrument 11,416 9,304 $298K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,671 4,488 $297K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,121 7,414 $272K
90460 Immunization administration through 18 years of age via any route, first or only component 8,179 7,922 $239K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,147 3,902 $230K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 6,252 5,825 $225K
90461 3,864 3,748 $138K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 1,347 1,237 $102K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,461 1,411 $93K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,007 5,661 $54K
83655 3,408 3,236 $41K
92587 1,080 1,026 $35K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 543 474 $23K
99177 4,309 4,149 $21K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 32 28 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 107 99 $7K
90670 2,685 2,607 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 378 347 $5K
90698 2,548 2,465 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 160 147 $3K
95117 185 71 $2K
90686 1,859 1,835 $2K
94760 1,575 1,358 $2K
36416 5,599 5,226 $1K
90680 1,226 1,187 $1K
90633 982 950 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 68 33 $929.68
99381 13 13 $895.82
87581 32 28 $845.85
87486 32 28 $845.85
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 80 63 $637.09
90685 384 375 $523.80
90744 434 422 $360.57
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 15 15 $347.37
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 25 25 $342.06
80061 Lipid panel 13 13 $144.62
90710 38 38 $124.14
90651 14 12 $109.69
81003 65 62 $52.92
90696 39 39 $37.80
90734 13 13 $36.80
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 44 38 $28.98
A7004 Small volume nonfiltered pneumatic nebulizer, disposable 16 12 $12.74
96161 15 14 $10.16
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12 12 $1.55
90672 14 14 $0.00
90707 14 14 $0.00