NP / PA
Norton Children's Medical Group, LLC
Norton Children's Medical Group, LLC was paid $12K by Medicaid between Apr 2020 and Apr 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoNORTON CHILDREN'S MEDICAL GROUP, LLC
LOUISVILLE, KY 40241
LOUISVILLE, KY 40241
33aNPI1144862301assigned 10/09/2019
33bProvider typeNeonatal Nurse Practitioner
28Total paid$12K
24GClaims225
24DCodes billed6
24AFirst – last monthApr 2020 – Apr 2024
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 | |
|---|---|---|---|
| 2020 | 120 | $6K | |
| 2022 | 13 | $960.12 | |
| 2024incomplete | 92 | $5K |
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 | 29% | 40 | 37 | $3K |
| 99460 | 28% | 55 | 53 | $3K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 32 | 28 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | 13% | 37 | 32 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.0% | 48 | 39 | $705.00 |
| 96112 | <1% | 13 | 12 | $99.08 |
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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.