NP / PA
Physicians for Children & Adolescents PSC
Physicians for Children & Adolescents PSC was paid $1.78M by Medicaid between Jan 2018 and Apr 2021, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoPHYSICIANS FOR CHILDREN & ADOLESCENTS PSC
PIKEVILLE, KY 41501
PIKEVILLE, KY 41501
33aNPI1225145444assigned 08/24/2006
33bProvider typePhysician Assistant
28Total paid$1.78M
24GClaims84,824
24DCodes billed36
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Physician Assistant providers in Kentucky
Rank by total paid#31 of 214
Median peer was paid$134K
This provider vs. median13×
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 | 32,848 | $645K | |
| 2019 | 31,405 | $652K | |
| 2020 | 17,900 | $404K | |
| 2021 | 2,671 | $77K |
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 | 42% | 20,954 | 17,177 | $742K |
| 99051 | 11% | 5,787 | 5,046 | $196K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.6% | 4,295 | 3,886 | $117K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.5% | 7,230 | 3,209 | $99K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 1,396 | 1,359 | $97K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.1% | 6,651 | 5,928 | $90K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.6% | 1,035 | 1,006 | $81K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.4% | 8,344 | 7,483 | $78K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.7% | 4,802 | 4,545 | $66K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 951 | 905 | $60K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.4% | 776 | 684 | $42K |
| 92552 | 2.1% | 3,477 | 3,343 | $37K |
24 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.1% | 2,000 | $37K |
| 99173 | 1.1% | 576 | $20K | |
| 81002 | <1% | 4,213 | $6K | |
| 87807 | <1% | 307 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 41 | $2K |
| 36416 | <1% | 8,257 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 67 | $849.33 |
| 90700 | <1% | 456 | $430.17 | |
| 90651 | <1% | 420 | $379.56 | |
| 90713 | <1% | 294 | $282.97 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 16 | $166.77 |
| 90633 | <1% | 164 | $147.21 | |
| 90734 | <1% | 206 | $110.43 | |
| 90474 | <1% | 12 | $106.05 | |
| 90687 | <1% | 209 | $92.00 | |
| 90670 | <1% | 270 | $92.00 | |
| 90688 | <1% | 1,357 | $69.26 | |
| 90648 | <1% | 74 | $36.80 | |
| 90680 | <1% | 12 | $18.40 | |
| 90707 | <1% | 40 | $0.01 | |
| 90716 | <1% | 40 | $0.01 | |
| 90744 | 0% | 27 | $0.00 | |
| 90723 | 0% | 39 | $0.00 | |
| 90620 | 0% | 29 | $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 officialSACHDEVA, RAKESH (PEDIATRICIAN)