Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Louisville › NPI 1275174625
Behavioral

Norton Children's Medical Group, LLC

Norton Children's Medical Group, LLC was paid $1.15M by Medicaid between May 2020 and Nov 2024, across 17 billing codes. Its largest line is 90791, psychiatric diagnostic evaluation — 48% of everything it billed.

33Billing provider infoNORTON CHILDREN'S MEDICAL GROUP, LLC
LOUISVILLE, KY 40241
33aNPI1275174625assigned 10/07/2019
33bProvider typePsychologist
28Total paid$1.15M
24GClaims17,424
24DCodes billed17
24AFirst – last monthMay 2020 – Nov 2024
Compared with peers

Next to other Psychologist providers in Kentucky

Rank by total paid#17 of 40
Median peer was paid$395K
This provider vs. median2.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GAST, SHELLEY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
20202,682$84K
20213,433$190K
20223,494$240K
20234,363$360K
2024incomplete3,452$276K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 48% 6,742 5,642 $555K
96112 20% 3,501 2,865 $231K
96113 15% 2,112 1,793 $170K
96156 5.1% 1,287 960 $59K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 3.5% 612 219 $40K
90847 Family psychotherapy with the patient present, 50 minutes 2.2% 465 403 $25K
96130 1.2% 231 207 $14K
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 1.0% 348 243 $12K
90785 <1% 1,309 483 $9K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 151 117 $8K
96137 <1% 110 98 $7K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 235 161 $6K
5 more codes
96131 <1% 95 $5K
90846 Family psychotherapy without the patient present, 50 minutes <1% 49 $3K
96136 <1% 108 $3K
90832 Psychotherapy session, about 30 minutes <1% 39 $2K
96167 <1% 30 $1K

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 officialGAST, SHELLEY (SYST VP MNGD CARE & PAYOR STRAT)
Same official

Other billing entities under GAST, SHELLEY

Full network →
ProviderLocationPaid
Norton Hospitals INCLouisville, KY$419.58M
Norton Hospitals, INCLouisville, KY$299.00M
Community Medical Associates, INC.Louisville, KY$135.33M
Norton Childrens Medical Group, LLCLouisville, KY$107.36M
Community Medical Associates, INC.Louisville, KY$48.97M
Norton Clark Hospital, LLCJeffersonville, IN$19.62M
Norton - Kings Daughters Health INCMadison, IN$11.81M
Norton Scott Hospital, LLCScottsburg, IN$9.17M
Norton Clark Physician Practices, LLCClarksville, IN$7.07M
Norton Hospitals INCLouisville, KY$3.38M
Community Medical Associates, INC.Louisville, KY$1.21M
Community Medical Associates, INC.Louisville, KY$957K
Community Medical Associates, INC.Louisville, KY$808K
Norton Scott Hospital, LLCScottsburg, IN$560K
Norton Hospitals, INCLouisville, KY$438K
Community Medical Associates, INC.Louisville, KY$357K
Norton Clark Physician Practices, LLCSellersburg, IN$273K
Norton Children's Medical Group, LLCLouisville, KY$260K
Norton Children's Medical Group, LLCLouisville, KY$238K
Norton Children's Medical Group, LLCLouisville, KY$189K

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