NP / PA
Norton - Kings Daughters Health INC
Norton - Kings Daughters Health INC was paid $11.81M by Medicaid between Jan 2018 and Dec 2024, across 144 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoNORTON - KINGS DAUGHTERS HEALTH INC
MADISON, IN 47250
MADISON, IN 47250
33aNPI1114955093assigned 06/29/2006
33bProvider typeNurse Practitioner
28Total paid$11.81M
24GClaims376,545
24DCodes billed144
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Indiana
Rank by total paid#2 of 95
Median peer was paid$52K
This provider vs. median227×
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
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 | 52,213 | $847K | |
| 2019 | 52,159 | $1.55M | |
| 2020 | 51,631 | $1.55M | |
| 2021 | 59,762 | $2.12M | |
| 2022 | 57,449 | $1.79M | |
| 2023 | 62,435 | $2.21M | |
| 2024incomplete | 40,896 | $1.75M |
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 | 31% | 69,778 | 60,628 | $3.71M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 84,209 | 74,898 | $3.70M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.6% | 8,979 | 7,812 | $663K |
| 59425 | 3.7% | 6,688 | 5,278 | $440K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 5,584 | 5,125 | $438K |
| 59426 | 3.4% | 6,014 | 3,353 | $397K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.2% | 4,929 | 4,534 | $255K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 7,230 | 6,438 | $197K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.6% | 8,374 | 7,479 | $187K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 3,212 | 2,941 | $164K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 15,474 | 13,681 | $159K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.1% | 6,076 | 2,754 | $131K |
132 more codes
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.1% | 2,084 | $129K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,564 | $112K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 5,470 | $98K |
| 36415 | Collection of venous blood by venipuncture | <1% | 34,194 | $90K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,225 | $72K |
| 71045 | Radiologic examination, chest; single view | <1% | 15,139 | $56K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 659 | $48K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 6,444 | $45K |
| 59025 | Fetal non-stress test | <1% | 2,075 | $44K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,349 | $40K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 6,291 | $35K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 1,650 | $34K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,565 | $33K |
| 59430 | <1% | 303 | $30K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 879 | $29K |
| 90686 | <1% | 6,839 | $28K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 1,427 | $26K |
| 20610 | <1% | 1,100 | $25K | |
| 94010 | <1% | 2,396 | $24K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 908 | $21K |
| 20611 | <1% | 545 | $19K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 418 | $18K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 2,424 | $15K |
| 99217 | <1% | 543 | $15K | |
| 73564 | <1% | 2,323 | $14K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 538 | $13K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 619 | $11K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 198 | $10K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 30 | $10K |
| 90474 | <1% | 805 | $9K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 303 | $8K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 276 | $8K |
| 99223 | Prolong inpt eval add15 m | <1% | 140 | $8K |
| 73630 | <1% | 1,552 | $7K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 293 | $7K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 174 | $7K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,341 | $7K |
| 43235 | <1% | 101 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 205 | $6K |
| 73610 | <1% | 1,203 | $6K | |
| 96127 | <1% | 1,909 | $6K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 3,308 | $6K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 1,404 | $6K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 44 | $6K |
| 90670 | <1% | 4,207 | $6K | |
| 99307 | <1% | 1,418 | $5K | |
| 99219 | <1% | 146 | $5K | |
| 73030 | <1% | 1,014 | $5K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 160 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 66 | $4K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 63 | $4K |
| 73110 | <1% | 705 | $4K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 205 | $4K |
| 97597 | <1% | 302 | $4K | |
| 99460 | <1% | 68 | $4K | |
| 99406 | <1% | 271 | $4K | |
| 95886 | <1% | 71 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 378 | $4K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 26 | $4K |
| 71250 | <1% | 160 | $4K | |
| 72100 | <1% | 606 | $3K | |
| 74018 | <1% | 686 | $3K | |
| 90677 | <1% | 546 | $3K | |
| 73130 | <1% | 515 | $3K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 87 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 202 | $3K |
| 81003 | <1% | 1,913 | $2K | |
| 31575 | <1% | 44 | $2K | |
| 92567 | <1% | 304 | $2K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 140 | $2K |
| 76857 | <1% | 119 | $2K | |
| 94726 | <1% | 329 | $2K | |
| 99220 | <1% | 25 | $2K | |
| 52000 | <1% | 20 | $2K | |
| 73502 | <1% | 365 | $2K | |
| 90715 | <1% | 220 | $1K | |
| 76830 | Ultrasound, transvaginal | <1% | 55 | $1K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 167 | $1K |
| 94729 | <1% | 272 | $1K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 15 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 24 | $990.90 |
| 90656 | <1% | 154 | $862.60 | |
| 99225 | <1% | 32 | $850.76 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 46 | $780.31 |
| 93970 | <1% | 40 | $751.49 | |
| 94060 | <1% | 115 | $726.33 | |
| 90723 | <1% | 2,840 | $704.38 | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 14 | $668.20 |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 12 | $548.96 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 268 | $543.23 |
| 93971 | <1% | 44 | $533.35 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 292 | $502.53 |
| 90732 | <1% | 16 | $466.98 | |
| 99462 | <1% | 17 | $451.80 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 83 | $445.65 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 841 | $383.13 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 20 | $328.31 |
| 90648 | <1% | 4,523 | $323.74 | |
| 90681 | <1% | 853 | $323.01 | |
| 81025 | <1% | 47 | $288.04 | |
| 72110 | <1% | 13 | $286.20 | |
| 76642 | <1% | 12 | $257.87 | |
| 90685 | <1% | 181 | $249.23 | |
| 72050 | <1% | 45 | $244.99 | |
| 99407 | <1% | 13 | $233.87 | |
| 76775 | <1% | 14 | $218.70 | |
| 69210 | <1% | 16 | $216.90 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 14 | $204.06 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 175 | $186.84 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 356 | $175.09 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,130 | $171.23 |
| 93880 | <1% | 12 | $169.16 | |
| 90461 | <1% | 30 | $156.16 | |
| 90697 | <1% | 81 | $112.85 | |
| 90633 | <1% | 638 | $74.33 | |
| 90680 | <1% | 73 | $63.92 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 25 | $32.90 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 53 | $20.40 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 54 | $17.75 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 167 | $5.98 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 16 | $1.98 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 20 | $1.76 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 58 | $0.00 |
| 90710 | 0% | 14 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | 0% | 14 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 702 | $0.00 |
| 1111F | 0% | 577 | $0.00 | |
| 90696 | 0% | 14 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 15 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 14 | $0.00 |
| 90716 | 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 officialGAST, SHELLEY (VP, MANAGED CARE)
Parent organizationNORTON - KINGS DAUGHTERS HEALTH INC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.