Clinic
Danville Pediatrics Medical Group PLLC
Danville Pediatrics Medical Group PLLC was paid $3.60M by Medicaid between May 2022 and Dec 2024, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoDANVILLE PEDIATRICS MEDICAL GROUP PLLC
DANVILLE, KY 40422
DANVILLE, KY 40422
33aNPI1518622505assigned 11/03/2021
33bProvider typeRural Health Clinic/Center
28Total paid$3.60M
24GClaims120,750
24DCodes billed49
24AFirst – last monthMay 2022 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#14 of 265
Median peer was paid$400K
This provider vs. median9.0×
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 | |
|---|---|---|---|
| 2022 | 27,003 | $805K | |
| 2023 | 48,748 | $1.42M | |
| 2024incomplete | 44,999 | $1.38M |
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% | 40,188 | 37,004 | $1.34M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 9,606 | 9,386 | $451K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.9% | 5,803 | 5,222 | $358K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.3% | 4,943 | 4,843 | $335K |
| 90461 | 6.6% | 6,011 | 5,907 | $236K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 3,564 | 3,499 | $234K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.3% | 11,224 | 10,774 | $156K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.0% | 7,807 | 3,790 | $107K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 1,186 | 1,176 | $87K |
| 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 | 1.9% | 1,233 | 1,162 | $69K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.5% | 2,935 | 2,854 | $55K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.3% | 912 | 479 | $46K |
37 more codes
| 99051 | <1% | 12,170 | $27K | |
| 90837 | Psychotherapy session, about an hour | <1% | 315 | $23K |
| 95117 | <1% | 1,748 | $21K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 393 | $18K |
| 95115 | <1% | 958 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 386 | $8K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 129 | $6K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 64 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 78 | $2K |
| 90671 | <1% | 1,624 | $2K | |
| 87807 | <1% | 169 | $2K | |
| 99460 | <1% | 41 | $2K | |
| 90670 | <1% | 1,434 | $946.31 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 16 | $926.53 |
| 99462 | <1% | 28 | $615.75 | |
| 92551 | <1% | 55 | $500.10 | |
| 96380 | <1% | 20 | $371.60 | |
| 94760 | <1% | 241 | $318.10 | |
| 90697 | <1% | 1,932 | $282.77 | |
| 90688 | <1% | 719 | $257.70 | |
| 90680 | <1% | 1,692 | $246.05 | |
| 83655 | <1% | 13 | $145.32 | |
| 96127 | <1% | 32 | $102.37 | |
| 90633 | <1% | 513 | $79.10 | |
| 90687 | <1% | 314 | $68.05 | |
| 85018 | <1% | 26 | $54.50 | |
| 36416 | <1% | 27 | $52.31 | |
| 90619 | <1% | 26 | $13.50 | |
| 81002 | <1% | 60 | $10.23 | |
| 90651 | <1% | 13 | $5.00 | |
| 90696 | 0% | 24 | $0.00 | |
| 90381 | 0% | 18 | $0.00 | |
| 3008F | 0% | 12 | $0.00 | |
| 90648 | 0% | 12 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 90710 | 0% | 12 | $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 officialSTRINGER, JANET (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Danville Pediatrics Medical Group PLLC | Lawrenceburg, KY | $396K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.