NP / PA
THR Pediatrics & Wellness Center
THR Pediatrics & Wellness Center was paid $258K by Medicaid between Sep 2021 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoTHR PEDIATRICS & WELLNESS CENTER
LOUISVILLE, KY 40258
LOUISVILLE, KY 40258
33aNPI1184293862assigned 06/17/2021
33bProvider typeMedical Physician Assistant
28Total paid$258K
24GClaims16,111
24DCodes billed31
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers
Next to other Medical Physician Assistant providers in Kentucky
Rank by total paid#23 of 45
Median peer was paid$258K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2021 | 467 | $9K | |
| 2022 | 2,992 | $50K | |
| 2023 | 4,724 | $84K | |
| 2024incomplete | 7,928 | $114K |
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 | 30% | 2,583 | 2,294 | $78K |
| 99173 | 20% | 1,288 | 1,215 | $51K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.1% | 426 | 396 | $21K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 332 | 318 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.4% | 200 | 198 | $11K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.2% | 1,596 | 1,496 | $11K |
| 92551 | 4.2% | 1,287 | 1,215 | $11K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.3% | 599 | 544 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 135 | 132 | $8K |
| 99384 | 2.3% | 89 | 84 | $6K | |
| 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 | 2.1% | 121 | 111 | $6K |
| 36416 | 1.7% | 1,579 | 1,487 | $4K |
19 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.3% | 65 | $3K |
| 96160 | 1.1% | 1,048 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 222 | $3K |
| 99383 | <1% | 38 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 98 | $2K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 69 | $2K |
| 81003 | <1% | 1,286 | $2K | |
| 99409 | <1% | 299 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 73 | $994.57 |
| 96127 | <1% | 333 | $891.96 | |
| 90710 | <1% | 13 | $813.43 | |
| 99381 | <1% | 13 | $668.90 | |
| 97802 | <1% | 100 | $639.83 | |
| 90686 | <1% | 43 | $122.57 | |
| 83655 | <1% | 16 | $111.51 | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | 0% | 838 | $0.00 |
| 3008F | 0% | 1,043 | $0.00 | |
| 99000 | 0% | 72 | $0.00 | |
| 4004F | 0% | 207 | $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 officialHALSELL RICHARDS, TYESHIA (PEDIATRIC PHYSICIAN ASSISTANT)