Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Norton Children's Medical Group, LLC

Norton Children's Medical Group, LLC was paid $117K by Medicaid between Jul 2020 and Sep 2024, across 4 billing codes. Its largest line is 99283, emergency room visit (moderate) — 56% of everything it billed.

33Billing provider infoNORTON CHILDREN'S MEDICAL GROUP, LLC
LOUISVILLE, KY 40241
33aNPI1487292033assigned 12/13/2019
28Total paid$117K
24GClaims2,295
24DCodes billed4
24AFirst – last monthJul 2020 – Sep 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Kentucky

Rank by total paid#33 of 91
Median peer was paid$34K
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.

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$5.0K$10K2018201920202021202220232024
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
202028$2K
2021401$18K
20221,110$50K
2023645$37K
2024incomplete111$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 56% 1,569 1,500 $65K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 37% 609 573 $43K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 6.5% 90 80 $8K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 27 26 $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 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.