Physician
Danville Pediatrics and Primary Care, PLLC
Danville Pediatrics and Primary Care, PLLC was paid $5.86M by Medicaid between Jan 2018 and Nov 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoDANVILLE PEDIATRICS AND PRIMARY CARE, PLLC
DANVILLE, KY 40422
DANVILLE, KY 40422
33aNPI1265547723assigned 08/21/2006
33bProvider typePediatrics Physician
28Total paid$5.86M
24GClaims194,868
24DCodes billed62
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Kentucky
Rank by total paid#4 of 156
Median peer was paid$41K
This provider vs. median142×
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 | 50,705 | $1.33M | |
| 2019 | 50,029 | $1.43M | |
| 2020 | 36,061 | $1.16M | |
| 2021 | 40,314 | $1.40M | |
| 2022 | 16,814 | $530K | |
| 2023 | 357 | $6K | |
| 2024incomplete | 588 | $10K |
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% | 58,332 | 53,154 | $2.21M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 11,351 | 10,143 | $713K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 9,583 | 9,400 | $703K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 29,139 | 22,072 | $681K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.0% | 5,705 | 5,606 | $410K |
| 90461 | 5.0% | 9,767 | 9,391 | $291K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 1,934 | 1,903 | $160K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.2% | 9,226 | 8,834 | $131K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 7,492 | 3,643 | $109K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 4,044 | 3,927 | $104K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.6% | 2,130 | 2,047 | $96K |
| 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 | 1.3% | 1,179 | 1,114 | $77K |
50 more codes
| 99051 | <1% | 7,336 | $37K | |
| 95115 | <1% | 2,621 | $27K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 787 | $16K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 356 | $11K |
| 0071A | <1% | 263 | $9K | |
| 99188 | <1% | 521 | $8K | |
| 90670 | <1% | 7,015 | $8K | |
| 0072A | <1% | 222 | $8K | |
| 90633 | <1% | 5,701 | $7K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 121 | $6K |
| 90680 | <1% | 4,296 | $4K | |
| 90698 | <1% | 4,842 | $4K | |
| 80061 | Lipid panel | <1% | 151 | $2K |
| 95117 | <1% | 160 | $2K | |
| 90687 | <1% | 1,857 | $1K | |
| 90744 | <1% | 2,096 | $1K | |
| 90473 | <1% | 121 | $1K | |
| 99462 | <1% | 55 | $1K | |
| 92583 | <1% | 60 | $1K | |
| 96127 | <1% | 350 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 51 | $1K |
| 90688 | <1% | 3,065 | $1K | |
| 99460 | <1% | 16 | $793.44 | |
| 82947 | <1% | 152 | $709.87 | |
| 0001A | <1% | 21 | $640.00 | |
| 0002A | <1% | 15 | $600.00 | |
| 92551 | <1% | 53 | $539.15 | |
| 90651 | <1% | 248 | $524.04 | |
| 85018 | <1% | 203 | $456.07 | |
| 96161 | <1% | 276 | $410.28 | |
| 83655 | <1% | 25 | $366.35 | |
| 90716 | <1% | 90 | $299.84 | |
| 87807 | <1% | 30 | $284.92 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 27 | $280.84 |
| 90648 | <1% | 65 | $257.60 | |
| 90734 | <1% | 395 | $217.32 | |
| 90707 | <1% | 101 | $205.70 | |
| 90700 | <1% | 116 | $175.67 | |
| 90710 | <1% | 89 | $175.60 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $143.13 |
| 36416 | <1% | 245 | $58.15 | |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 14 | $43.91 |
| 90715 | <1% | 54 | $36.80 | |
| 81002 | <1% | 12 | $6.02 | |
| 90696 | <1% | 49 | $5.00 | |
| 91307 | 0% | 304 | $0.00 | |
| 3008F | 0% | 78 | $0.00 | |
| 90619 | 0% | 12 | $0.00 | |
| 90672 | 0% | 187 | $0.00 | |
| 91300 | 0% | 49 | $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 officialDICKINSON, JEREMY (MEDICAL DIRECTOR)