Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Norton Children's Medical Group, LLC

Norton Children's Medical Group, LLC was paid $43K by Medicaid between May 2020 and Oct 2024, across 5 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 62% of everything it billed.

33Billing provider infoNORTON CHILDREN'S MEDICAL GROUP, LLC
LOUISVILLE, KY 40241
33aNPI1083256242assigned 10/09/2019
33bProvider typePediatrics Physician
28Total paid$43K
24GClaims398
24DCodes billed5
24AFirst – last monthMay 2020 – Oct 2024
Compared with peers

Next to other Pediatrics Physician providers in Kentucky

Rank by total paid#76 of 156
Median peer was paid$41K
This provider vs. median1.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GAST, SHELLEY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
202025$767.87
202158$5K
202247$4K
2023114$11K
2024incomplete154$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 62% 194 140 $27K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 20% 78 62 $9K
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 16% 87 79 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.8% 25 12 $767.87
99024 0% 14 13 $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 officialGAST, SHELLEY (SYST VP MNGD CARE & PAYOR STRAT)
Same official

Other billing entities under GAST, SHELLEY

Full network →
ProviderLocationPaid
Norton Hospitals INCLouisville, KY$419.58M
Norton Hospitals, INCLouisville, KY$299.00M
Community Medical Associates, INC.Louisville, KY$135.33M
Norton Childrens Medical Group, LLCLouisville, KY$107.36M
Community Medical Associates, INC.Louisville, KY$48.97M
Norton Clark Hospital, LLCJeffersonville, IN$19.62M
Norton - Kings Daughters Health INCMadison, IN$11.81M
Norton Scott Hospital, LLCScottsburg, IN$9.17M
Norton Clark Physician Practices, LLCClarksville, IN$7.07M
Norton Hospitals INCLouisville, KY$3.38M
Community Medical Associates, INC.Louisville, KY$1.21M
Norton Children's Medical Group, LLCLouisville, KY$1.15M
Community Medical Associates, INC.Louisville, KY$957K
Community Medical Associates, INC.Louisville, KY$808K
Norton Scott Hospital, LLCScottsburg, IN$560K
Norton Hospitals, INCLouisville, KY$438K
Community Medical Associates, INC.Louisville, KY$357K
Norton Clark Physician Practices, LLCSellersburg, IN$273K
Norton Children's Medical Group, LLCLouisville, KY$260K
Norton Children's Medical Group, LLCLouisville, KY$238K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.