Pediatric Care of Kentucky PSC

Pediatric Care of Kentucky PSC was paid $1.75M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.

33Billing provider infoPEDIATRIC CARE OF KENTUCKY PSC
EDGEWOOD, KY 41017

33aNPI1598739849assigned 02/14/2006

33bProvider typePediatrics Physician

28Total paid$1.75M

24GClaims74,333

24DCodes billed38

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Kentucky

Rank by total paid#19 of 156

Median peer was paid$41K

This provider vs. median42×

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	9,950	$273K
2019	9,549	$263K
2020	7,820	$219K
2021	13,700	$223K
2022	16,102	$251K
2023	10,669	$281K
2024incomplete	6,543	$236K

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	40%	18,090	16,923	$690K
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	24%	7,187	6,659	$424K
90460	Immunization administration through 18 years of age via any route, first or only component	19%	15,924	9,716	$324K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	3.5%	928	906	$61K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.5%	596	582	$43K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.3%	536	530	$39K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.0%	3,055	1,466	$34K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.5%	2,381	2,271	$26K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	1.2%	350	336	$21K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	751	710	$16K
96127		<1%	3,779	2,427	$13K
99072		<1%	12,807	11,651	$11K

26 more codes

90834	Psychotherapy session, about 45 minutes	<1%	182	$10K
90461		<1%	180	$9K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	212	$9K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	86	$7K
92552		<1%	218	$3K
99215	Doctor's office visit, returning patient (complex)	<1%	24	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	53	$816.02
87634		<1%	15	$720.90
90688		<1%	2,090	$528.73
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	45	$486.61
99188		<1%	12	$183.45
90670		<1%	279	$145.11
99177		<1%	32	$113.50
85018		<1%	52	$105.34
94760		<1%	645	$101.10
90680		<1%	67	$75.20
90698		<1%	279	$70.72
99000		<1%	2,763	$64.70
A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable	<1%	43	$60.64
36416		<1%	165	$58.08
90687		<1%	242	$43.91
81002		<1%	28	$15.99
90661		0%	143	$0.00
90672		0%	51	$0.00
90734		0%	14	$0.00
90651		0%	29	$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 officialDEDDEN, JEANEEN (BUSINESS MANAGER)