Physician
Pediatrics of Florence, PSC
Pediatrics of Florence, PSC was paid $2.97M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoPEDIATRICS OF FLORENCE, PSC
FLORENCE, KY 41042
FLORENCE, KY 41042
33aNPI1457432627assigned 10/17/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$2.97M
24GClaims81,938
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Kentucky
Rank by total paid#2 of 10
Median peer was paid$878K
This provider vs. median3.4×
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 | 13,594 | $445K | |
| 2019 | 12,494 | $427K | |
| 2020 | 10,432 | $365K | |
| 2021 | 11,689 | $421K | |
| 2022 | 12,400 | $451K | |
| 2023 | 11,373 | $425K | |
| 2024incomplete | 9,956 | $431K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 31% | 14,468 | 13,464 | $905K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 18,256 | 16,925 | $744K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.2% | 11,669 | 7,546 | $272K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.1% | 2,364 | 2,332 | $182K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 2,719 | 2,633 | $173K |
| 92587 | 5.8% | 4,596 | 4,530 | $171K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.1% | 1,172 | 1,161 | $93K |
| 90461 | 2.7% | 2,436 | 2,078 | $80K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 4,712 | 4,492 | $69K |
| 87428 | 1.9% | 1,307 | 1,254 | $55K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.3% | 1,104 | 1,067 | $37K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 1,214 | 1,006 | $31K |
31 more codes
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.0% | 338 | $30K |
| 99051 | <1% | 2,897 | $24K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 250 | $23K |
| 96127 | <1% | 3,439 | $12K | |
| 99177 | <1% | 2,696 | $12K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 414 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 733 | $11K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 165 | $7K |
| 90670 | <1% | 991 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 111 | $4K |
| 90698 | <1% | 894 | $3K | |
| 90686 | <1% | 1,925 | $3K | |
| 0071A | <1% | 37 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 43 | $1K |
| 0072A | <1% | 29 | $1K | |
| 87807 | <1% | 82 | $987.76 | |
| 90680 | <1% | 244 | $731.97 | |
| 90672 | <1% | 30 | $525.19 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 26 | $454.74 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $257.36 |
| 90633 | <1% | 101 | $233.57 | |
| 90685 | <1% | 102 | $138.79 | |
| 90661 | <1% | 139 | $135.24 | |
| 90744 | <1% | 75 | $131.21 | |
| 92558 | <1% | 22 | $120.33 | |
| 85018 | <1% | 14 | $21.32 | |
| 81003 | <1% | 24 | $11.54 | |
| 91307 | 0% | 38 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 90677 | 0% | 25 | $0.00 | |
| 90707 | 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 officialBATES, SHAWNA (OFFICE MANAGER)