Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Norton Children's Medical Group, LLC

Norton Children's Medical Group, LLC was paid $379K by Medicaid between Jun 2020 and Nov 2024, across 16 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 18% of everything it billed.

33Billing provider infoNORTON CHILDREN'S MEDICAL GROUP, LLC
LOUISVILLE, KY 40241
33aNPI1457999096assigned 12/13/2019
33bProvider typeNurse Practitioner
28Total paid$379K
24GClaims7,405
24DCodes billed16
24AFirst – last monthJun 2020 – Nov 2024
Compared with peers

Next to other Nurse Practitioner providers in Kentucky

Rank by total paid#72 of 260
Median peer was paid$89K
This provider vs. median4.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GAST, SHELLEY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2020179$8K
20213,109$149K
20221,043$60K
20231,333$78K
2024incomplete1,741$85K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 18% 1,269 1,081 $68K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 18% 742 681 $67K
90847 Family psychotherapy with the patient present, 50 minutes 18% 1,320 903 $67K
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 13% 907 798 $50K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 11% 1,049 919 $43K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 6.9% 339 224 $26K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.7% 696 232 $22K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.9% 176 137 $11K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.6% 134 53 $6K
90792 Psychiatric diagnostic evaluation with medical services 1.5% 72 58 $6K
90785 <1% 508 214 $3K
99205 Prolong outpt/office vis <1% 31 27 $2K
4 more codes
99238 Hospital discharge day management, 30 minutes or less <1% 33 $1K
96156 <1% 91 $1K
99223 Prolong inpt eval add15 m <1% 14 $1K
90846 Family psychotherapy without the patient present, 50 minutes <1% 24 $1K

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 officialGAST, SHELLEY (SYST VP OF MNGD CARE & PAYOR STRAT)
Same official

Other billing entities under GAST, SHELLEY

Full network →
ProviderLocationPaid
Norton Hospitals INCLouisville, KY$419.58M
Norton Hospitals, INCLouisville, KY$299.00M
Community Medical Associates, INC.Louisville, KY$135.33M
Norton Childrens Medical Group, LLCLouisville, KY$107.36M
Community Medical Associates, INC.Louisville, KY$48.97M
Norton Clark Hospital, LLCJeffersonville, IN$19.62M
Norton - Kings Daughters Health INCMadison, IN$11.81M
Norton Scott Hospital, LLCScottsburg, IN$9.17M
Norton Clark Physician Practices, LLCClarksville, IN$7.07M
Norton Hospitals INCLouisville, KY$3.38M
Community Medical Associates, INC.Louisville, KY$1.21M
Norton Children's Medical Group, LLCLouisville, KY$1.15M
Community Medical Associates, INC.Louisville, KY$957K
Community Medical Associates, INC.Louisville, KY$808K
Norton Scott Hospital, LLCScottsburg, IN$560K
Norton Hospitals, INCLouisville, KY$438K
Community Medical Associates, INC.Louisville, KY$357K
Norton Clark Physician Practices, LLCSellersburg, IN$273K
Norton Children's Medical Group, LLCLouisville, KY$260K
Norton Children's Medical Group, LLCLouisville, KY$238K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.