Licking Valley Internal Medicine & Pediatrics PSC

Licking Valley Internal Medicine & Pediatrics PSC was paid $1.50M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.

33Billing provider infoLICKING VALLEY INTERNAL MEDICINE & PEDIATRICS PSC
CYNTHIANA, KY 41031

33aNPI1225136153assigned 09/21/2006

33bProvider typePediatrics Physician

28Total paid$1.50M

24GClaims44,807

24DCodes billed31

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Kentucky

Rank by total paid#21 of 156

Median peer was paid$41K

This provider vs. median36×

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	4,354	$131K
2019	4,977	$152K
2020	3,791	$128K
2021	6,188	$297K
2022	9,032	$244K
2023	8,860	$275K
2024incomplete	7,605	$268K

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	62%	24,362	20,658	$922K
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	20%	5,781	4,963	$304K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	6.3%	1,492	1,351	$94K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	3.3%	657	645	$49K
90460	Immunization administration through 18 years of age via any route, first or only component	2.2%	1,375	1,328	$32K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.2%	1,592	1,478	$17K
90461		1.2%	814	794	$17K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	1.1%	453	408	$16K
87636	Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B	<1%	105	102	$12K
99308	Subsequent nursing facility care, per day, straightforward	<1%	3,854	2,939	$11K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	403	289	$5K
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%	49	41	$4K

19 more codes

99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	24	$3K
99188		<1%	127	$2K
90671		<1%	484	$2K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	75	$1K
99173		<1%	13	$615.90
99307		<1%	380	$589.14
90697		<1%	303	$400.86
99460		<1%	19	$322.85
99318		<1%	33	$111.76
90681		<1%	123	$107.71
90633		<1%	95	$89.50
90686		<1%	127	$67.43
90670		<1%	170	$1.48
90698		<1%	113	$1.03
90744		<1%	47	$0.43
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	1,577	$0.01
99072		0%	88	$0.00
G9744	Patient not eligible due to active diagnosis of hypertension	0%	59	$0.00
1036F		0%	13	$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 officialMCKEMIE, WILLIAM (PRESIDENT)