Physician
Langford, Sheridan
Langford, Sheridan was paid $25K by Medicaid between Jan 2018 and Jan 2020, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoLANGFORD, SHERIDAN
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
33aNPI1588930036assigned 03/29/2012
33bProvider typePediatrics Physician
28Total paid$25K
24GClaims1,570
24DCodes billed15
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Pediatrics Physician providers in Kentucky
Rank by total paid#88 of 156
Median peer was paid$41K
This provider vs. median0.6×
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 | 673 | $8K | |
| 2019 | 811 | $16K | |
| 2020 | 86 | $1K |
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% | 280 | 275 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 25% | 493 | 493 | $6K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 9.6% | 191 | 191 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.5% | 29 | 29 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.5% | 26 | 26 | $2K |
| 90686 | 3.5% | 180 | 180 | $866.69 | |
| 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 | 3.5% | 12 | 12 | $865.92 |
| 90685 | 1.4% | 29 | 29 | $349.60 | |
| 90474 | <1% | 13 | 13 | $99.44 | |
| 90670 | <1% | 15 | 15 | $55.20 | |
| 90698 | <1% | 15 | 15 | $55.20 | |
| 96161 | <1% | 14 | 13 | $54.21 |
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.