Physician
Mayfield Pediatric Clinic PLLC
Mayfield Pediatric Clinic PLLC was paid $484K by Medicaid between Aug 2018 and Dec 2019, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoMAYFIELD PEDIATRIC CLINIC PLLC
MAYFIELD, KY 42066
MAYFIELD, KY 42066
33aNPI1205079134assigned 04/07/2009
33bProvider typeFamily Medicine Physician
28Total paid$484K
24GClaims18,267
24DCodes billed38
24AFirst – last monthAug 2018 – Dec 2019
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#97 of 352
Median peer was paid$90K
This provider vs. median5.4×
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 | 5,684 | $133K | |
| 2019 | 12,583 | $351K |
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 | 38% | 5,035 | 4,204 | $186K |
| 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 | 7.7% | 657 | 581 | $37K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.3% | 630 | 544 | $35K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.2% | 1,375 | 1,127 | $35K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 519 | 454 | $34K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.9% | 1,374 | 1,098 | $33K |
| 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 | 4.3% | 229 | 202 | $21K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.2% | 414 | 288 | $20K |
| 90461 | 4.2% | 829 | 676 | $20K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.2% | 824 | 391 | $11K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.8% | 174 | 163 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 608 | 553 | $8K |
26 more codes
| 97802 | 1.4% | 953 | $7K | |
| 99460 | 1.2% | 139 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 94 | $5K |
| 96127 | 1.0% | 1,409 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 238 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 27 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 74 | $1K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 18 | $1K |
| 99462 | <1% | 44 | $985.20 | |
| 54150 | <1% | 13 | $915.24 | |
| 96161 | <1% | 314 | $645.58 | |
| 83655 | <1% | 40 | $442.27 | |
| 90670 | <1% | 454 | $413.82 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 12 | $237.95 |
| 90633 | <1% | 335 | $228.60 | |
| 90723 | <1% | 345 | $199.02 | |
| 90686 | <1% | 112 | $193.09 | |
| 96160 | <1% | 130 | $158.86 | |
| 90680 | <1% | 225 | $150.40 | |
| 85018 | <1% | 54 | $117.54 | |
| 90734 | <1% | 91 | $117.41 | |
| 90647 | <1% | 330 | $114.77 | |
| 36416 | <1% | 49 | $19.62 | |
| 90710 | 0% | 16 | $0.00 | |
| 90715 | 0% | 68 | $0.00 | |
| 90696 | 0% | 15 | $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 officialHUSSAIN, ABID (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Abid Hussain MD PC | Hemet, CA | $314K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.