Physician
Norton Children's Medical Group, LLC
Norton Children's Medical Group, LLC was paid $712K by Medicaid between Oct 2020 and Dec 2024, across 23 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 29% of everything it billed.
33Billing provider infoNORTON CHILDREN'S MEDICAL GROUP, LLC
LOUISVILLE, KY 40241
LOUISVILLE, KY 40241
33aNPI1336771161assigned 02/10/2020
33bProvider typeDermatology Physician
28Total paid$712K
24GClaims17,888
24DCodes billed23
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Dermatology Physician providers in Kentucky
Rank by total paid#2 of 21
Median peer was paid$29K
This provider vs. median24×
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
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 | |
|---|---|---|---|
| 2020 | 291 | $14K | |
| 2021 | 3,031 | $112K | |
| 2022 | 3,006 | $119K | |
| 2023 | 5,850 | $233K | |
| 2024incomplete | 5,710 | $234K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 29% | 3,623 | 3,027 | $204K |
| 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 | 25% | 2,499 | 2,029 | $178K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 3,754 | 3,221 | $114K |
| 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 | 12% | 1,781 | 1,537 | $87K |
| 92060 | 7.7% | 2,995 | 1,938 | $55K | |
| 92015 | Determination of refractive state | 2.0% | 925 | 834 | $14K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.6% | 238 | 225 | $11K |
| 99245 | 1.5% | 62 | 62 | $10K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 364 | 195 | $7K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 77 | 75 | $6K |
| 99221 | <1% | 167 | 139 | $5K | |
| 92201 | <1% | 436 | 250 | $4K |
11 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 206 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 39 | $3K |
| 92133 | <1% | 123 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 64 | $2K |
| 17110 | <1% | 71 | $2K | |
| 99305 | <1% | 31 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 16 | $948.45 |
| 99417 | Prolong home eval add 15m | <1% | 13 | $629.01 |
| 87220 | <1% | 13 | $51.41 | |
| 99024 | 0% | 376 | $0.00 | |
| 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) | 0% | 15 | $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 officialGAST, SHELLEY (SYST VP MNGD CARE & PAYOR STRAT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.