NP / PA
Pediatric Hematology/Oncology Specialists
Pediatric Hematology/Oncology Specialists was paid $166K by Medicaid between Jan 2018 and Feb 2020, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.
33Billing provider infoPEDIATRIC HEMATOLOGY/ONCOLOGY SPECIALISTS
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
33aNPI1275710907assigned 01/24/2008
33bProvider typeFamily Nurse Practitioner
28Total paid$166K
24GClaims4,687
24DCodes billed7
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Family Nurse Practitioner providers in Kentucky
Rank by total paid#90 of 424
Median peer was paid$19K
This provider vs. median8.8×
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 | 1,603 | $53K | |
| 2019 | 2,736 | $98K | |
| 2020 | 348 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 76% | 2,123 | 2,017 | $125K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 8.3% | 1,186 | 1,121 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.7% | 317 | 290 | $11K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.9% | 94 | 90 | $8K |
| 85027 | 2.6% | 486 | 443 | $4K | |
| 85007 | 1.2% | 469 | 429 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 12 | 12 | $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 officialBERTOLONE, SALVATORE (PRESIDENT)
Parent organizationPEDIATRIC HEMATOLOGY/ONCOLOGY SPECIALISTS
| Provider | Location | Paid |
|---|---|---|
| Pediatric Hematology-Oncology Specialists, PSC | Louisville, KY | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.