Medicaid Provider Spending

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

GEORGETOWN PEDIATRICS, PSC

NPI: 1598809097 · GEORGETOWN, KY 40324 · Professional Counselor · NPI assigned 02/16/2007

$5.24M
Total Medicaid Paid
159,696
Total Claims
136,880
Beneficiaries
59
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHAMBRICK, HORACE (PRESIDENT)
NPI Enumeration Date02/16/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 21,957 $621K
2019 22,593 $677K
2020 19,125 $583K
2021 23,996 $748K
2022 27,106 $915K
2023 24,001 $882K
2024 20,918 $815K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45,920 42,763 $1.71M
90460 Immunization administration through 18 years of age via any route, first or only component 24,346 14,157 $640K
96110 Developmental screening, with scoring and documentation, per standardized instrument 14,982 12,962 $448K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,073 7,639 $443K
90837 Psychotherapy, 53 minutes with patient 5,644 3,029 $391K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,974 4,854 $356K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,606 4,364 $292K
90461 6,874 6,422 $202K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,306 2,235 $196K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,027 2,903 $132K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,491 1,457 $100K
99050 6,525 6,277 $94K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,395 2,309 $72K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 600 587 $26K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,717 1,655 $25K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,444 1,390 $22K
96127 7,627 5,500 $20K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 213 208 $16K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 52 51 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 348 167 $5K
90671 280 279 $5K
99177 1,192 1,139 $4K
90670 1,797 1,745 $4K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 90 87 $4K
90473 212 206 $4K
90686 5,097 4,953 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 91 81 $3K
0071A 69 64 $2K
90791 Psychiatric diagnostic evaluation 26 26 $2K
0072A 54 51 $2K
90648 2,338 2,270 $1K
99188 102 102 $1K
90680 782 759 $1K
90723 923 901 $942.51
85018 431 414 $929.70
36416 1,130 1,082 $858.90
0001A 35 22 $840.00
99215 Prolong outpt/office vis 14 12 $804.08
87634 15 12 $646.15
90480 18 18 $604.00
83655 51 49 $586.70
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 45 41 $586.37
90677 106 105 $464.93
87807 43 42 $445.39
0002A 18 12 $440.00
94760 159 143 $295.95
0124A 13 12 $286.73
90633 160 155 $249.37
90707 72 64 $172.32
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 14 13 $147.27
90672 274 257 $137.83
90716 28 27 $94.14
90660 93 93 $9.42
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 12 12 $9.00
90656 346 344 $6.75
91321 15 13 $0.01
91307 196 184 $0.00
90688 17 17 $0.00
91300 174 145 $0.00