NP / PA
MT. Sterling Pediatrics
MT. Sterling Pediatrics was paid $3.34M by Medicaid between Jan 2018 and Apr 2021, across 49 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoMT. STERLING PEDIATRICS
MT STERLING, KY 40353
MT STERLING, KY 40353
33aNPI1063650471assigned 01/23/2009
33bProvider typePhysician Assistant
28Total paid$3.34M
24GClaims103,922
24DCodes billed49
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Physician Assistant providers in Kentucky
Rank by total paid#17 of 214
Median peer was paid$134K
This provider vs. median25×
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 | 32,139 | $1.02M | |
| 2019 | 34,597 | $1.21M | |
| 2020 | 29,011 | $892K | |
| 2021 | 8,175 | $220K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 23% | 15,170 | 13,425 | $758K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 14% | 5,231 | 4,048 | $460K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 8.9% | 11,416 | 9,304 | $298K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.9% | 4,671 | 4,488 | $297K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.2% | 8,121 | 7,414 | $272K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.2% | 8,179 | 7,922 | $239K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.9% | 4,147 | 3,902 | $230K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 6.7% | 6,252 | 5,825 | $225K |
| 90461 | 4.1% | 3,864 | 3,748 | $138K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 3.0% | 1,347 | 1,237 | $102K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 1,461 | 1,411 | $93K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.6% | 6,007 | 5,661 | $54K |
37 more codes
| 83655 | 1.2% | 3,408 | $41K | |
| 92587 | 1.0% | 1,080 | $35K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 543 | $23K |
| 99177 | <1% | 4,309 | $21K | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 32 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 107 | $7K |
| 90670 | <1% | 2,685 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 378 | $5K |
| 90698 | <1% | 2,548 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 160 | $3K |
| 95117 | <1% | 185 | $2K | |
| 90686 | <1% | 1,859 | $2K | |
| 94760 | <1% | 1,575 | $2K | |
| 36416 | <1% | 5,599 | $1K | |
| 90680 | <1% | 1,226 | $1K | |
| 90633 | <1% | 982 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 68 | $929.68 |
| 99381 | <1% | 13 | $895.82 | |
| 87581 | <1% | 32 | $845.85 | |
| 87486 | <1% | 32 | $845.85 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 80 | $637.09 |
| 90685 | <1% | 384 | $523.80 | |
| 90744 | <1% | 434 | $360.57 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 15 | $347.37 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 25 | $342.06 |
| 80061 | Lipid panel | <1% | 13 | $144.62 |
| 90710 | <1% | 38 | $124.14 | |
| 90651 | <1% | 14 | $109.69 | |
| 81003 | <1% | 65 | $52.92 | |
| 90696 | <1% | 39 | $37.80 | |
| 90734 | <1% | 13 | $36.80 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 44 | $28.98 |
| A7004 | Small volume nonfiltered pneumatic nebulizer, disposable | <1% | 16 | $12.74 |
| 96161 | <1% | 15 | $10.16 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 12 | $1.55 |
| 90672 | 0% | 14 | $0.00 | |
| 90707 | 0% | 14 | $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 officialFOUCH, BRANDY (OWNER)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.