NP / PA
Red Maple Pediatrics LLC
Red Maple Pediatrics LLC was paid $392K by Medicaid between Dec 2022 and Dec 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoRED MAPLE PEDIATRICS LLC
RUSSELLVILLE, KY 42276
RUSSELLVILLE, KY 42276
33aNPI1295461119assigned 07/25/2022
33bProvider typeFamily Nurse Practitioner
28Total paid$392K
24GClaims18,591
24DCodes billed45
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Kentucky
Rank by total paid#59 of 424
Median peer was paid$19K
This provider vs. median21×
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 | |
|---|---|---|---|
| 2022 | 86 | $1K | |
| 2023 | 7,497 | $168K | |
| 2024incomplete | 11,008 | $223K |
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% | 4,832 | 3,834 | $148K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.3% | 593 | 572 | $37K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.0% | 649 | 610 | $35K |
| 87428 | 7.0% | 986 | 905 | $28K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.6% | 691 | 411 | $22K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.9% | 635 | 513 | $19K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.1% | 549 | 536 | $12K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.0% | 595 | 576 | $12K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.9% | 1,248 | 1,082 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.5% | 1,002 | 432 | $10K |
| 92587 | 2.3% | 355 | 342 | $9K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.1% | 359 | 229 | $8K |
33 more codes
| 90461 | 2.0% | 285 | $8K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 126 | $8K |
| 99203 | Doctor's office visit, new patient (routine) | 1.2% | 114 | $5K |
| 87807 | 1.1% | 571 | $4K | |
| 90473 | <1% | 152 | $4K | |
| 90670 | <1% | 123 | $4K | |
| 99177 | <1% | 597 | $2K | |
| 99188 | <1% | 82 | $1K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 15 | $1K |
| 99381 | <1% | 14 | $942.96 | |
| 90697 | <1% | 199 | $697.05 | |
| 96161 | <1% | 278 | $651.70 | |
| 83655 | <1% | 65 | $567.76 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $557.16 |
| 96160 | <1% | 272 | $548.84 | |
| 90686 | <1% | 76 | $346.81 | |
| 96381 | <1% | 35 | $341.98 | |
| 90671 | <1% | 140 | $318.20 | |
| 85018 | <1% | 136 | $206.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 29 | $201.42 |
| 90707 | <1% | 55 | $87.31 | |
| 90680 | <1% | 163 | $75.20 | |
| 90677 | <1% | 208 | $33.86 | |
| 90648 | <1% | 13 | $13.92 | |
| 90656 | <1% | 72 | $2.23 | |
| 90633 | 0% | 89 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| 90715 | 0% | 14 | $0.00 | |
| 90700 | 0% | 34 | $0.00 | |
| 3008F | 0% | 2,034 | $0.00 | |
| 90716 | 0% | 51 | $0.00 | |
| 90651 | 0% | 16 | $0.00 | |
| 90381 | 0% | 14 | $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 officialKENNEDY-FOSTER, DANIELLE (MD)