Physician
Madison Pediatric Assoc
Madison Pediatric Assoc was paid $3.92M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoMADISON PEDIATRIC ASSOC
RICHMOND, KY 40475
RICHMOND, KY 40475
33aNPI1508923715assigned 01/03/2007
33bProvider typePediatrics Physician
28Total paid$3.92M
24GClaims118,949
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Kentucky
Rank by total paid#6 of 156
Median peer was paid$41K
This provider vs. median95×
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 | 13,168 | $466K | |
| 2019 | 15,160 | $519K | |
| 2020 | 16,807 | $443K | |
| 2021 | 19,483 | $580K | |
| 2022 | 22,503 | $673K | |
| 2023 | 16,734 | $630K | |
| 2024incomplete | 15,094 | $607K |
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 | 37% | 37,912 | 32,609 | $1.46M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 15% | 9,926 | 8,523 | $595K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 11,437 | 10,165 | $488K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 6,497 | 5,904 | $453K |
| 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 | 11% | 6,921 | 6,163 | $418K |
| 90461 | 6.5% | 6,202 | 5,431 | $255K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 1,187 | 1,038 | $79K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 5,458 | 2,438 | $60K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 5,251 | 4,762 | $59K |
| 85018 | <1% | 5,566 | 5,017 | $13K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 384 | 325 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 64 | 64 | $6K |
36 more codes
| 99051 | <1% | 734 | $4K | |
| 87428 | <1% | 147 | $4K | |
| 36416 | <1% | 5,558 | $4K | |
| 87807 | <1% | 303 | $3K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,443 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 41 | $1K |
| 99383 | <1% | 13 | $1K | |
| 81002 | <1% | 733 | $975.71 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26 | $679.13 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 44 | $630.87 |
| 90670 | <1% | 3,199 | $621.15 | |
| 0071A | <1% | 12 | $494.00 | |
| 0001A | <1% | 12 | $492.00 | |
| 0002A | <1% | 13 | $488.00 | |
| 90671 | <1% | 958 | $473.08 | |
| 90680 | <1% | 1,685 | $347.60 | |
| 90697 | <1% | 807 | $314.54 | |
| 96161 | <1% | 99 | $274.99 | |
| 90744 | <1% | 783 | $86.71 | |
| 90686 | <1% | 1,051 | $81.25 | |
| 90674 | <1% | 356 | $74.66 | |
| 90698 | <1% | 1,732 | $70.88 | |
| 96127 | <1% | 13 | $42.46 | |
| 91307 | <1% | 40 | $0.10 | |
| 90681 | <1% | 338 | $0.09 | |
| 90633 | <1% | 966 | $0.06 | |
| 90710 | 0% | 162 | $0.00 | |
| 91300 | 0% | 37 | $0.00 | |
| 90700 | 0% | 22 | $0.00 | |
| 90661 | 0% | 117 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 90677 | 0% | 328 | $0.00 | |
| 90619 | 0% | 295 | $0.00 | |
| 96380 | 0% | 13 | $0.00 | |
| 90688 | 0% | 40 | $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 officialMURRELL, NATALIE (OFFICE MANAGER)