Physician
Metro Pediatric Associates PLLC
Metro Pediatric Associates PLLC was paid $1.41M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoMETRO PEDIATRIC ASSOCIATES PLLC
LOUISVILLE, KY 40222
LOUISVILLE, KY 40222
33aNPI1548332455assigned 11/15/2006
33bProvider typePediatrics Physician
28Total paid$1.41M
24GClaims55,486
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Kentucky
Rank by total paid#22 of 156
Median peer was paid$41K
This provider vs. median34×
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 | 11,260 | $270K | |
| 2019 | 8,723 | $176K | |
| 2020 | 7,368 | $148K | |
| 2021 | 6,563 | $190K | |
| 2022 | 7,931 | $222K | |
| 2023 | 7,299 | $208K | |
| 2024incomplete | 6,342 | $201K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 31% | 7,688 | 6,968 | $442K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 4,334 | 3,933 | $162K |
| 99173 | 10.0% | 3,653 | 3,362 | $141K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.7% | 1,665 | 1,572 | $109K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.2% | 1,514 | 1,398 | $88K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.5% | 3,421 | 3,246 | $78K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.1% | 1,127 | 1,047 | $72K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.5% | 2,590 | 2,417 | $63K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 518 | 480 | $38K |
| 92551 | 2.0% | 3,015 | 2,768 | $28K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.8% | 328 | 289 | $25K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.5% | 3,075 | 2,848 | $21K |
47 more codes
| 90461 | 1.3% | 792 | $18K | |
| 99490 | Ccm add 20min | 1.1% | 582 | $15K |
| 96127 | 1.0% | 4,039 | $14K | |
| 96160 | <1% | 4,742 | $14K | |
| 90670 | <1% | 405 | $10K | |
| 87634 | <1% | 157 | $7K | |
| 92587 | <1% | 255 | $5K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 132 | $5K |
| 90633 | <1% | 280 | $5K | |
| 90734 | <1% | 78 | $4K | |
| 99408 | <1% | 325 | $4K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 98 | $3K |
| 90686 | <1% | 618 | $3K | |
| 36416 | <1% | 3,206 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 31 | $3K |
| 90700 | <1% | 301 | $3K | |
| 99384 | <1% | 48 | $3K | |
| 81003 | <1% | 2,067 | $3K | |
| 99177 | <1% | 1,017 | $2K | |
| 80061 | Lipid panel | <1% | 234 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 94 | $2K |
| 90713 | <1% | 133 | $2K | |
| 90648 | <1% | 127 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 107 | $2K |
| 92567 | <1% | 111 | $1K | |
| 90710 | <1% | 15 | $1K | |
| 90715 | <1% | 50 | $1K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 16 | $967.05 |
| 90744 | <1% | 49 | $952.34 | |
| 83655 | <1% | 84 | $891.67 | |
| 90716 | <1% | 18 | $874.83 | |
| 90698 | <1% | 91 | $863.48 | |
| 87807 | <1% | 63 | $693.77 | |
| 90707 | <1% | 23 | $663.71 | |
| 90680 | <1% | 47 | $600.66 | |
| 99426 | <1% | 52 | $425.00 | |
| 98970 | <1% | 51 | $369.90 | |
| 97802 | <1% | 66 | $229.35 | |
| 90473 | <1% | 16 | $167.78 | |
| 94664 | <1% | 15 | $152.31 | |
| 90688 | <1% | 137 | $151.56 | |
| 90672 | <1% | 19 | $50.68 | |
| 3008F | <1% | 1,463 | $0.57 | |
| 99000 | 0% | 13 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 2014F | 0% | 192 | $0.00 | |
| 4004F | 0% | 87 | $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 officialBERKHAHN, CHRISTIAN (OWNER)