NP / PA
Shelby Pediatrics, PSC
Shelby Pediatrics, PSC was paid $2.12M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoSHELBY PEDIATRICS, PSC
SHELBYVILLE, KY 40065
SHELBYVILLE, KY 40065
33aNPI1558415760assigned 01/23/2007
33bProvider typeMedical Physician Assistant
28Total paid$2.12M
24GClaims67,608
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Medical Physician Assistant providers in Kentucky
Rank by total paid#9 of 45
Median peer was paid$258K
This provider vs. median8.2×
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 | 11,115 | $313K | |
| 2019 | 10,836 | $346K | |
| 2020 | 8,213 | $253K | |
| 2021 | 9,758 | $308K | |
| 2022 | 11,617 | $352K | |
| 2023 | 10,654 | $317K | |
| 2024incomplete | 5,415 | $229K |
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 | 38% | 19,143 | 17,221 | $799K |
| 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 | 27% | 9,264 | 8,631 | $570K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.0% | 1,910 | 1,854 | $106K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.8% | 1,854 | 1,811 | $101K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.7% | 3,872 | 3,758 | $100K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.6% | 5,688 | 5,442 | $75K |
| 99173 | 3.4% | 3,018 | 2,923 | $73K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 1,129 | 1,110 | $66K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 1,105 | 1,068 | $56K |
| 90461 | 2.2% | 1,801 | 1,759 | $48K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 2,912 | 1,501 | $40K |
| 92551 | 1.1% | 2,885 | 2,786 | $23K |
26 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,334 | $17K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,015 | $11K |
| 90670 | <1% | 996 | $9K | |
| 87807 | <1% | 431 | $5K | |
| 36416 | <1% | 2,421 | $4K | |
| 90633 | <1% | 637 | $3K | |
| 83655 | <1% | 299 | $3K | |
| 90688 | <1% | 616 | $2K | |
| 94760 | <1% | 1,402 | $2K | |
| 90723 | <1% | 543 | $2K | |
| 90648 | <1% | 764 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 76 | $1K |
| 90734 | <1% | 181 | $404.86 | |
| 90687 | <1% | 87 | $337.84 | |
| 81002 | <1% | 89 | $156.54 | |
| 90681 | <1% | 111 | $153.77 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $147.85 |
| 90716 | <1% | 12 | $147.20 | |
| 90715 | <1% | 60 | $128.80 | |
| 86769 | <1% | 13 | $115.94 | |
| 90649 | <1% | 25 | $110.40 | |
| 86308 | <1% | 13 | $99.43 | |
| 99177 | <1% | 12 | $40.04 | |
| 3008F | <1% | 829 | $2.54 | |
| 2014F | 0% | 35 | $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 officialSIEGEL, ERIC (MEDICAL DOCTOR)