Physician
Pediatric Associates
Pediatric Associates was paid $565K by Medicaid between May 2019 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES
HAZARD, KY 41701
HAZARD, KY 41701
33aNPI1487600615assigned 05/26/2006
33bProvider typeFamily Medicine Physician
28Total paid$565K
24GClaims14,036
24DCodes billed18
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#90 of 352
Median peer was paid$90K
This provider vs. median6.3×
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 | |
|---|---|---|---|
| 2019 | 663 | $25K | |
| 2020 | 2,964 | $107K | |
| 2021 | 3,016 | $118K | |
| 2022 | 3,645 | $170K | |
| 2023 | 1,956 | $82K | |
| 2024incomplete | 1,792 | $64K |
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 | 53% | 7,301 | 3,922 | $299K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 28% | 3,713 | 1,903 | $159K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 7.6% | 526 | 517 | $43K |
| T2023 | Targeted case management; per month | 2.6% | 48 | 44 | $15K |
| 95117 | 2.6% | 1,241 | 580 | $15K | |
| H0001 | Alcohol and/or drug assessment | 1.4% | 147 | 128 | $8K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 1.3% | 134 | 115 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 80 | 73 | $5K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 30 | 24 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 102 | 89 | $3K |
| 94010 | <1% | 92 | 88 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 288 | 256 | $2K |
6 more codes
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 officialSO, DJIEN (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Associates | Pikeville, KY | $2.35M |
| Aaron K. Jonan Memorial Clinic INC. | Jackson, KY | $1.84M |
| Pediatric Associates | Stanton, KY | $1.24M |
| Salyersville Medical Center, LLC | Salyersville, KY | $1.20M |
| Medical Investment Trust | Pikeville, KY | $841K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.