Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LOUISVILLE PEDIATRIC SPECIALISTS,PSC

NPI: 1285617886 · LOUISVILLE, KY 40258 · Medical Specialty Clinic/Center · NPI assigned 11/29/2005

$20K
Total Medicaid Paid
448
Total Claims
392
Beneficiaries
3
Codes Billed
2023-11
First Month
2024-05
Last Month

Provider Details

Authorized OfficialRASH, TRUDI (SECRETARY/OWNER)
NPI Enumeration Date11/29/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 87 $3K
2024 361 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 319 270 $11K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 73 67 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 56 55 $4K