NP / PA
Pediatric Group of Paducah
Pediatric Group of Paducah was paid $1.42M by Medicaid between Jan 2018 and Sep 2019, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoPEDIATRIC GROUP OF PADUCAH
PADUCAH, KY 42003
PADUCAH, KY 42003
33aNPI1346279510assigned 07/01/2006
33bProvider typeFamily Nurse Practitioner
28Total paid$1.42M
24GClaims48,684
24DCodes billed32
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Family Nurse Practitioner providers in Kentucky
Rank by total paid#12 of 424
Median peer was paid$19K
This provider vs. median76×
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 | 27,801 | $814K | |
| 2019 | 20,883 | $610K |
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 | 43% | 14,672 | 13,304 | $607K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 2,478 | 2,434 | $189K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 4,316 | 4,177 | $178K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 2,588 | 2,492 | $167K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.6% | 1,596 | 1,583 | $122K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.0% | 654 | 646 | $57K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.7% | 2,851 | 2,752 | $39K |
| 85018 | <1% | 4,889 | 4,795 | $13K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 977 | 480 | $12K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 237 | 231 | $12K |
| 83655 | <1% | 683 | 676 | $9K | |
| 99460 | <1% | 162 | 160 | $7K |
20 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 350 | $5K |
| 82465 | <1% | 559 | $2K | |
| 99462 | <1% | 30 | $738.90 | |
| 87807 | <1% | 41 | $563.27 | |
| 90651 | <1% | 271 | $477.90 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 15 | $179.04 |
| 90670 | <1% | 2,108 | $145.34 | |
| 90734 | <1% | 210 | $117.41 | |
| 90716 | <1% | 835 | $94.21 | |
| 90723 | <1% | 1,546 | $87.40 | |
| 90680 | <1% | 1,395 | $75.37 | |
| 90707 | <1% | 835 | $56.22 | |
| 90715 | <1% | 67 | $31.84 | |
| 90633 | <1% | 1,575 | $29.74 | |
| 90648 | <1% | 2,075 | $26.45 | |
| 90688 | <1% | 383 | $0.16 | |
| 90700 | <1% | 128 | $0.04 | |
| 90696 | 0% | 117 | $0.00 | |
| 90686 | 0% | 25 | $0.00 | |
| 90685 | 0% | 16 | $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 officialEVANS, DANA (PROVIDER ENROLLMENT SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Connecting Dots Therapy, LLC | West Monroe, LA | $894K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.