NP / PA
Bluegrass Pediatrics, LLC
Bluegrass Pediatrics, LLC was paid $201K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoBLUEGRASS PEDIATRICS, LLC
PADUCAH, KY 42003
PADUCAH, KY 42003
33aNPI1427478700assigned 04/24/2014
33bProvider typeNurse Practitioner
28Total paid$201K
24GClaims7,074
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#99 of 260
Median peer was paid$89K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2018 | 1,385 | $33K | |
| 2019 | 754 | $21K | |
| 2020 | 1,281 | $35K | |
| 2021 | 1,039 | $33K | |
| 2022 | 1,377 | $47K | |
| 2023 | 693 | $20K | |
| 2024incomplete | 545 | $12K |
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 | 40% | 2,651 | 2,273 | $81K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 596 | 537 | $33K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 360 | 351 | $25K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.2% | 232 | 228 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.2% | 717 | 670 | $11K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.7% | 280 | 256 | $9K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.1% | 357 | 338 | $6K |
| 99174 | 2.2% | 231 | 224 | $4K | |
| 90461 | 1.6% | 130 | 114 | $3K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 1.6% | 26 | 26 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 299 | 247 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 32 | 31 | $2K |
13 more codes
| 90670 | <1% | 329 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 76 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 13 | $805.20 |
| 90473 | <1% | 40 | $468.00 | |
| 90723 | <1% | 125 | $372.00 | |
| 92551 | <1% | 19 | $192.00 | |
| 90648 | <1% | 284 | $157.26 | |
| 90686 | <1% | 126 | $58.23 | |
| 99173 | <1% | 15 | $30.00 | |
| 85018 | <1% | 14 | $28.44 | |
| 90672 | <1% | 39 | $24.60 | |
| 90633 | 0% | 70 | $0.00 | |
| 90710 | 0% | 13 | $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 officialQUERTERMOUS, TRUDY (CREDENTIALING/BILLING MANAGER)