NP / PA
Pediatric Partners of Northern Kentucky
Pediatric Partners of Northern Kentucky was paid $258K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoPEDIATRIC PARTNERS OF NORTHERN KENTUCKY
FT WRIGHT, KY 41017
FT WRIGHT, KY 41017
33aNPI1336209865assigned 12/12/2006
33bProvider typePediatric Nurse Practitioner
28Total paid$258K
24GClaims7,357
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Kentucky
Rank by total paid#8 of 27
Median peer was paid$37K
This provider vs. median7.0×
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 | 385 | $14K | |
| 2019 | 716 | $24K | |
| 2020 | 587 | $19K | |
| 2021 | 1,206 | $41K | |
| 2022 | 1,341 | $47K | |
| 2023 | 1,552 | $67K | |
| 2024incomplete | 1,570 | $46K |
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 | 45% | 2,164 | 1,920 | $116K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 1,889 | 1,704 | $68K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 20% | 1,969 | 1,200 | $52K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.4% | 159 | 150 | $6K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.0% | 45 | 40 | $3K |
| 90461 | <1% | 73 | 63 | $2K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 67 | 61 | $2K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 72 | 70 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 30 | 26 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 113 | 67 | $2K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 594 | 525 | $762.23 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 26 | 25 | $517.08 |
5 more codes
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 officialSPRAGUE, REBECCA (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Partners of Northern Kentucky | Ft Wright, KY | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.