Medicaid Provider Spending

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

MT. STERLING PEDIATRICS PSC

NPI: 1356939235 · MT STERLING, KY 40353 · Rural Health Clinic/Center · NPI assigned 01/06/2021

$2.91M
Total Medicaid Paid
93,062
Total Claims
82,814
Beneficiaries
51
Codes Billed
2021-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFOUCH, BRANDY (OWNER)
NPI Enumeration Date01/06/2021

Related Entities

Other providers sharing the same authorized official: FOUCH, BRANDY

ProviderCityStateTotal Paid
MT. STERLING PEDIATRICS MT STERLING KY $3.34M
MOREHEAD PEDIATRICS MOREHEAD KY $976K
PREMIER MEDICAL ASSOCIATES MT STERLING KY $38K
MT STERLING PEDIATRICS MOREHEAD KY $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 26,881 $795K
2022 23,085 $805K
2023 21,748 $722K
2024 21,348 $588K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,584 15,549 $616K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,723 9,394 $542K
90460 Immunization administration through 18 years of age via any route, first or only component 5,852 5,717 $242K
96110 Developmental screening, with scoring and documentation, per standardized instrument 8,405 6,897 $223K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,264 3,199 $213K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,644 2,484 $148K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,273 3,052 $141K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,677 1,570 $130K
90461 2,779 2,709 $121K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,687 1,638 $106K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,787 5,152 $75K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,307 2,126 $66K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,938 1,719 $62K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 899 843 $50K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,940 1,600 $47K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,957 4,645 $31K
83655 2,511 2,430 $25K
92587 775 752 $23K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 271 265 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 299 279 $7K
36416 4,824 4,445 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 397 325 $5K
99177 894 870 $2K
90837 Psychotherapy, 53 minutes with patient 27 15 $2K
87807 121 119 $1K
90670 1,036 1,012 $927.46
87486 64 56 $844.95
87581 64 56 $844.95
90698 999 970 $557.99
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 62 54 $489.85
96127 106 104 $271.39
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 41 27 $266.13
90680 536 522 $210.57
86308 22 22 $111.64
90686 1,047 1,036 $85.29
94760 47 39 $64.03
81003 218 198 $38.36
J1100 Injection, dexamethasone sodium phosphate, 1 mg 237 214 $27.53
90677 224 222 $25.08
90744 119 115 $24.22
A4628 Oral and/or oropharyngeal suction catheter, each 38 30 $21.48
A7002 Tubing, used with suction pump, each 38 30 $18.66
36415 Collection of venous blood by venipuncture 29 28 $11.64
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 44 42 $1.73
90656 64 62 $0.45
91307 21 20 $0.03
90651 14 14 $0.01
90619 12 12 $0.00
90697 14 14 $0.00
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 38 30 $0.00
90633 93 91 $0.00