Clinic
MT. Sterling Pediatrics PSC
MT. Sterling Pediatrics PSC was paid $2.91M by Medicaid between Apr 2021 and Nov 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoMT. STERLING PEDIATRICS PSC
MT STERLING, KY 40353
MT STERLING, KY 40353
33aNPI1356939235assigned 01/06/2021
33bProvider typeRural Health Clinic/Center
28Total paid$2.91M
24GClaims93,062
24DCodes billed51
24AFirst – last monthApr 2021 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#22 of 265
Median peer was paid$400K
This provider vs. median7.3×
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 | |
|---|---|---|---|
| 2021 | 26,881 | $795K | |
| 2022 | 23,085 | $805K | |
| 2023 | 21,748 | $722K | |
| 2024incomplete | 21,348 | $588K |
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 | 21% | 17,584 | 15,549 | $616K |
| 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 | 19% | 10,723 | 9,394 | $542K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.3% | 5,852 | 5,717 | $242K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.7% | 8,405 | 6,897 | $223K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.3% | 3,264 | 3,199 | $213K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.1% | 2,644 | 2,484 | $148K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.8% | 3,273 | 3,052 | $141K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 4.5% | 1,677 | 1,570 | $130K |
| 90461 | 4.2% | 2,779 | 2,709 | $121K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 1,687 | 1,638 | $106K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.6% | 5,787 | 5,152 | $75K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.3% | 2,307 | 2,126 | $66K |
39 more codes
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.1% | 1,938 | $62K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 1.7% | 899 | $50K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 3,940 | $47K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.1% | 4,957 | $31K |
| 83655 | <1% | 2,511 | $25K | |
| 92587 | <1% | 775 | $23K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 271 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 299 | $7K |
| 36416 | <1% | 4,824 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 397 | $5K |
| 99177 | <1% | 894 | $2K | |
| 90837 | Psychotherapy session, about an hour | <1% | 27 | $2K |
| 87807 | <1% | 121 | $1K | |
| 90670 | <1% | 1,036 | $927.46 | |
| 87486 | <1% | 64 | $844.95 | |
| 87581 | <1% | 64 | $844.95 | |
| 90698 | <1% | 999 | $557.99 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 62 | $489.85 |
| 96127 | <1% | 106 | $271.39 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 41 | $266.13 |
| 90680 | <1% | 536 | $210.57 | |
| 86308 | <1% | 22 | $111.64 | |
| 90686 | <1% | 1,047 | $85.29 | |
| 94760 | <1% | 47 | $64.03 | |
| 81003 | <1% | 218 | $38.36 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 237 | $27.53 |
| 90677 | <1% | 224 | $25.08 | |
| 90744 | <1% | 119 | $24.22 | |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 38 | $21.48 |
| A7002 | Tubing, used with suction pump, each | <1% | 38 | $18.66 |
| 36415 | Collection of venous blood by venipuncture | <1% | 29 | $11.64 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 44 | $1.73 |
| 90656 | <1% | 64 | $0.45 | |
| 91307 | <1% | 21 | $0.03 | |
| 90651 | <1% | 14 | $0.01 | |
| 90619 | 0% | 12 | $0.00 | |
| 90697 | 0% | 14 | $0.00 | |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | 0% | 38 | $0.00 |
| 90633 | 0% | 93 | $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 officialFOUCH, BRANDY (OWNER)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.