Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

METRO PEDIATRIC ASSOCIATES PLLC

NPI: 1548332455 · LOUISVILLE, KY 40222 · Pediatrics Physician · NPI assigned 11/15/2006

$1.41M
Total Medicaid Paid
55,486
Total Claims
50,897
Beneficiaries
59
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBERKHAHN, CHRISTIAN (OWNER)
NPI Enumeration Date11/15/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,260 $270K
2019 8,723 $176K
2020 7,368 $148K
2021 6,563 $190K
2022 7,931 $222K
2023 7,299 $208K
2024 6,342 $201K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,688 6,968 $442K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,334 3,933 $162K
99173 3,653 3,362 $141K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,665 1,572 $109K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,514 1,398 $88K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,421 3,246 $78K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,127 1,047 $72K
90460 Immunization administration through 18 years of age via any route, first or only component 2,590 2,417 $63K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 518 480 $38K
92551 3,015 2,768 $28K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 328 289 $25K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,075 2,848 $21K
90461 792 730 $18K
99490 Ccm add 20min 582 481 $15K
96127 4,039 3,722 $14K
96160 4,742 4,179 $14K
90670 405 388 $10K
87634 157 116 $7K
92587 255 215 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 132 108 $5K
90633 280 271 $5K
90734 78 76 $4K
99408 325 308 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 98 95 $3K
90686 618 587 $3K
36416 3,206 2,960 $3K
99215 Prolong outpt/office vis 31 31 $3K
90700 301 284 $3K
99384 48 40 $3K
81003 2,067 1,881 $3K
99177 1,017 948 $2K
80061 Lipid panel 234 212 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 94 90 $2K
90713 133 127 $2K
90648 127 122 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 107 98 $2K
92567 111 99 $1K
90710 15 14 $1K
90715 50 49 $1K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 16 16 $967.05
90744 49 47 $952.34
83655 84 79 $891.67
90716 18 16 $874.83
90698 91 85 $863.48
87807 63 60 $693.77
90707 23 20 $663.71
90680 47 43 $600.66
99426 52 45 $425.00
98970 51 46 $369.90
97802 66 63 $229.35
90473 16 14 $167.78
94664 15 12 $152.31
90688 137 134 $151.56
90672 19 17 $50.68
3008F 1,463 1,362 $0.57
99000 13 13 $0.00
90651 12 12 $0.00
2014F 192 176 $0.00
4004F 87 78 $0.00