NP / PA
Pearl Geriatrics and Palliative Medicine, PSC
Pearl Geriatrics and Palliative Medicine, PSC was paid $809K by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 65% of everything it billed.
33Billing provider infoPEARL GERIATRICS AND PALLIATIVE MEDICINE, PSC
LOUISVILLE, KY 40218
LOUISVILLE, KY 40218
33aNPI1376865972assigned 02/23/2010
33bProvider typeFamily Nurse Practitioner
28Total paid$809K
24GClaims193,043
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Kentucky
Rank by total paid#25 of 424
Median peer was paid$19K
This provider vs. median43×
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 | 13,558 | $30K | |
| 2019 | 18,173 | $66K | |
| 2020 | 30,146 | $116K | |
| 2021 | 33,290 | $183K | |
| 2022 | 34,333 | $172K | |
| 2023 | 42,810 | $140K | |
| 2024incomplete | 20,733 | $101K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 65% | 82,231 | 31,561 | $527K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 23% | 20,797 | 18,043 | $183K |
| 99305 | 3.8% | 1,838 | 1,571 | $31K | |
| 99307 | 2.7% | 4,349 | 2,805 | $22K | |
| 99306 | Prolong nursin fac eval 15m | 2.1% | 403 | 344 | $17K |
| 99497 | 1.9% | 982 | 784 | $15K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 369 | 293 | $6K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 79 | 42 | $5K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 79 | 42 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 17 | 14 | $604.98 |
| 99316 | <1% | 24 | 12 | $383.11 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 361 | 339 | $11.46 |
21 more codes
| 1170F | <1% | 39,638 | $0.42 | |
| 1160F | <1% | 11,930 | $0.09 | |
| 1157F | <1% | 8,226 | $0.05 | |
| 1125F | <1% | 2,643 | $0.05 | |
| 1159F | <1% | 8,753 | $0.05 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 210 | $0.02 |
| 1123F | <1% | 2,283 | $0.01 | |
| 2000F | 0% | 445 | $0.00 | |
| 3074F | 0% | 455 | $0.00 | |
| 1126F | 0% | 514 | $0.00 | |
| 3075F | 0% | 255 | $0.00 | |
| 3079F | 0% | 191 | $0.00 | |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 153 | $0.00 |
| 3044F | 0% | 17 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 12 | $0.00 |
| 3080F | 0% | 76 | $0.00 | |
| 3077F | 0% | 157 | $0.00 | |
| 3288F | 0% | 4,860 | $0.00 | |
| 3078F | 0% | 581 | $0.00 | |
| 3725F | 0% | 37 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 78 | $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 officialOMORUYI, OSAWARU (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pearl Medical Practice PLLC | Louisville, KY | $4.29M |
| Medical Products Group, LLC | Wheaton, IL | $245K |
| Pearl Diagnostic Laboratory, LLC | Louisville, KY | $21K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.