Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

University Pediatrics Infectious Diseases, LLC

University Pediatrics Infectious Diseases, LLC was paid $30K by Medicaid between Jan 2018 and Feb 2020, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.

33Billing provider infoUNIVERSITY PEDIATRICS INFECTIOUS DISEASES, LLC
LOUISVILLE, KY 40202
33aNPI1255467239assigned 02/26/2007
33bProvider typePediatrics Physician
28Total paid$30K
24GClaims468
24DCodes billed4
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers

Next to other Pediatrics Physician providers in Kentucky

Rank by total paid#85 of 156
Median peer was paid$41K
This provider vs. median0.7×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018224$17K
2019229$12K
202015$959.39
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 57% 305 288 $17K
99244 Office or other outpatient consultation, moderate to high complexity 29% 65 64 $9K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.7% 66 64 $3K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 5.7% 32 14 $2K

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 officialRABALAIS, GERARD (PRESIDENT)
Same official

Other billing entities under RABALAIS, GERARD

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.