Physician
One Pediatrics, PLLC
One Pediatrics, PLLC was paid $4.09M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoONE PEDIATRICS, PLLC
LOUISVILLE, KY 40291
LOUISVILLE, KY 40291
33aNPI1063855450assigned 04/16/2013
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$4.09M
24GClaims136,230
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Kentucky
Rank by total paid#1 of 10
Median peer was paid$878K
This provider vs. median4.7×
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 | 25,065 | $739K | |
| 2019 | 28,589 | $905K | |
| 2020 | 15,614 | $500K | |
| 2021 | 17,316 | $451K | |
| 2022 | 22,322 | $646K | |
| 2023 | 18,149 | $552K | |
| 2024incomplete | 9,175 | $298K |
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 | 47% | 54,990 | 49,745 | $1.93M |
| 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 | 14% | 10,433 | 9,590 | $584K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 8.0% | 3,784 | 3,554 | $326K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.2% | 9,365 | 8,944 | $215K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 2,577 | 2,230 | $148K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.9% | 3,225 | 3,063 | $118K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.8% | 4,144 | 3,999 | $115K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 1,545 | 1,516 | $111K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.7% | 7,722 | 7,216 | $108K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.2% | 1,981 | 1,830 | $88K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 992 | 934 | $69K |
| 90461 | <1% | 1,411 | 1,361 | $38K |
46 more codes
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 828 | $38K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,115 | $30K |
| 87634 | <1% | 501 | $30K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 304 | $25K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,157 | $24K |
| 99408 | <1% | 734 | $23K | |
| 96127 | <1% | 3,099 | $11K | |
| 87081 | <1% | 1,689 | $10K | |
| 90686 | <1% | 2,144 | $10K | |
| 90688 | <1% | 648 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 789 | $8K |
| 92587 | <1% | 220 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 206 | $6K |
| 99072 | <1% | 4,984 | $2K | |
| 90633 | <1% | 68 | $1K | |
| 99174 | <1% | 57 | $1K | |
| 0071A | <1% | 26 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $959.80 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 14 | $906.26 |
| 90685 | <1% | 155 | $887.17 | |
| 81001 | <1% | 195 | $680.46 | |
| 0072A | <1% | 15 | $613.20 | |
| 81003 | <1% | 311 | $593.17 | |
| 90672 | <1% | 40 | $583.17 | |
| D1206 | Topical application of fluoride varnish | <1% | 27 | $360.00 |
| 92583 | <1% | 12 | $274.89 | |
| 90698 | <1% | 241 | $266.88 | |
| 96160 | <1% | 87 | $254.85 | |
| 90671 | <1% | 39 | $253.71 | |
| 99177 | <1% | 99 | $241.58 | |
| 90473 | <1% | 13 | $202.80 | |
| 87807 | <1% | 14 | $147.64 | |
| 82465 | <1% | 28 | $114.19 | |
| 90670 | <1% | 153 | $94.33 | |
| 36416 | <1% | 2,028 | $90.46 | |
| 90785 | <1% | 14 | $87.38 | |
| 99000 | <1% | 89 | $70.35 | |
| 82947 | <1% | 14 | $58.20 | |
| 96161 | <1% | 14 | $47.32 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 12 | $13.98 |
| 99051 | <1% | 443 | $13.50 | |
| 3008F | <1% | 7,317 | $5.43 | |
| 2014F | <1% | 1,013 | $1.06 | |
| 91307 | 0% | 41 | $0.00 | |
| 90680 | 0% | 37 | $0.00 | |
| 90656 | 0% | 12 | $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 officialNUNES-VAIS, LEA (CMS)