Oldham County Pediatrics, PLLC
Oldham County Pediatrics, PLLC was paid $377K by Medicaid between Aug 2023 and Dec 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoOLDHAM COUNTY PEDIATRICS, PLLC
LA GRANGE, KY 40031
LA GRANGE, KY 40031
33aNPI1538223235assigned 12/20/2006
33bProvider typeSpecialist
28Total paid$377K
24GClaims12,044
24DCodes billed27
24AFirst – last monthAug 2023 – Dec 2024
Compared with peers
Next to other Specialist providers in Kentucky
Rank by total paid#21 of 73
Median peer was paid$107K
This provider vs. median3.5×
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 | |
|---|---|---|---|
| 2023 | 4,119 | $124K | |
| 2024incomplete | 7,925 | $253K |
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% | 5,838 | 5,091 | $199K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 19% | 1,315 | 1,247 | $73K |
| 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 | 7.1% | 479 | 428 | $27K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 268 | 249 | $17K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 199 | 186 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.3% | 934 | 840 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.9% | 790 | 362 | $11K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.3% | 267 | 240 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 41 | 40 | $4K |
| 87081 | <1% | 636 | 574 | $3K | |
| 92587 | <1% | 80 | 78 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | 12 | $807.04 |
15 more codes
| 96127 | <1% | 156 | $595.04 | |
| 90688 | <1% | 413 | $558.44 | |
| 96160 | <1% | 145 | $478.92 | |
| 90461 | <1% | 16 | $429.34 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | $365.57 |
| 87807 | <1% | 33 | $323.79 | |
| 90671 | <1% | 48 | $253.66 | |
| 99188 | <1% | 17 | $215.85 | |
| 99177 | <1% | 21 | $55.67 | |
| 36416 | <1% | 23 | $53.75 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 32 | $48.28 |
| 3008F | <1% | 171 | $0.17 | |
| 90698 | <1% | 26 | $0.01 | |
| 99051 | 0% | 57 | $0.00 | |
| 2014F | 0% | 13 | $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 officialDAMPIER, CLAUDIA A (PRACTICE ADMINISTRATOR)