NP / PA
Radcliff Pediatrics ,PSC
Radcliff Pediatrics ,PSC was paid $1.46M by Medicaid between Jan 2018 and Dec 2020, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoRADCLIFF PEDIATRICS ,PSC
RADCLIFF, KY 40160
RADCLIFF, KY 40160
33aNPI1124151097assigned 03/13/2007
33bProvider typeNurse Practitioner
28Total paid$1.46M
24GClaims61,477
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#35 of 260
Median peer was paid$89K
This provider vs. median16×
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 | 24,319 | $616K | |
| 2019 | 22,212 | $496K | |
| 2020 | 14,946 | $346K |
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 | 25% | 9,799 | 8,739 | $362K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 15% | 2,888 | 2,830 | $215K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 2,437 | 2,400 | $185K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 1,925 | 1,891 | $164K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.6% | 1,886 | 1,793 | $126K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.1% | 5,057 | 4,788 | $75K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.8% | 4,239 | 4,168 | $55K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.7% | 3,817 | 1,814 | $55K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.9% | 4,522 | 2,505 | $42K |
| 99383 | 1.9% | 325 | 317 | $28K | |
| 99384 | 1.3% | 190 | 186 | $19K | |
| 90633 | 1.0% | 2,049 | 2,032 | $15K |
39 more codes
| 83655 | <1% | 1,099 | $14K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 460 | $11K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 157 | $9K |
| 90670 | <1% | 1,519 | $8K | |
| 97802 | <1% | 812 | $7K | |
| 90686 | <1% | 1,096 | $6K | |
| 90723 | <1% | 1,126 | $6K | |
| 90680 | <1% | 909 | $5K | |
| 90710 | <1% | 743 | $5K | |
| 90734 | <1% | 822 | $5K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 487 | $4K |
| 90649 | <1% | 416 | $4K | |
| 99382 | <1% | 47 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 424 | $4K |
| 87807 | <1% | 336 | $4K | |
| 90648 | <1% | 622 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 28 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 55 | $2K |
| 99381 | <1% | 28 | $2K | |
| 90715 | <1% | 435 | $2K | |
| 90696 | <1% | 368 | $2K | |
| 99460 | <1% | 32 | $2K | |
| 90698 | <1% | 238 | $1K | |
| 81002 | <1% | 417 | $1K | |
| 90685 | <1% | 269 | $754.51 | |
| 94664 | <1% | 37 | $418.38 | |
| 99462 | <1% | 18 | $384.18 | |
| 86665 | <1% | 15 | $231.91 | |
| 87084 | <1% | 14 | $196.60 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $140.00 |
| 90651 | <1% | 343 | $27.60 | |
| 90658 | <1% | 50 | $18.40 | |
| 3008F | <1% | 5,673 | $3.30 | |
| 90647 | <1% | 169 | $0.12 | |
| 90716 | <1% | 62 | $0.01 | |
| 90707 | <1% | 57 | $0.01 | |
| 90688 | 0% | 21 | $0.00 | |
| 90744 | 0% | 12 | $0.00 | |
| 2014F | 0% | 2,913 | $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 officialNGUYEN, HY (MD)