Behavioral
Georgetown Pediatrics, PSC
Georgetown Pediatrics, PSC was paid $5.24M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoGEORGETOWN PEDIATRICS, PSC
GEORGETOWN, KY 40324
GEORGETOWN, KY 40324
33aNPI1598809097assigned 02/16/2007
33bProvider typeProfessional Counselor
28Total paid$5.24M
24GClaims159,696
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Kentucky
Rank by total paid#19 of 255
Median peer was paid$129K
This provider vs. median41×
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 | 21,957 | $621K | |
| 2019 | 22,593 | $677K | |
| 2020 | 19,125 | $583K | |
| 2021 | 23,996 | $748K | |
| 2022 | 27,106 | $915K | |
| 2023 | 24,001 | $882K | |
| 2024incomplete | 20,918 | $815K |
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 | 33% | 45,920 | 42,763 | $1.71M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 24,346 | 14,157 | $640K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 8.6% | 14,982 | 12,962 | $448K |
| 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 | 8.5% | 8,073 | 7,639 | $443K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 7.5% | 5,644 | 3,029 | $391K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 4,974 | 4,854 | $356K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.6% | 4,606 | 4,364 | $292K |
| 90461 | 3.8% | 6,874 | 6,422 | $202K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.7% | 2,306 | 2,235 | $196K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.5% | 3,027 | 2,903 | $132K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 1,491 | 1,457 | $100K |
| 99050 | 1.8% | 6,525 | 6,277 | $94K |
47 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.4% | 2,395 | $72K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 600 | $26K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,717 | $25K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,444 | $22K |
| 96127 | <1% | 7,627 | $20K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 213 | $16K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 52 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 348 | $5K |
| 90671 | <1% | 280 | $5K | |
| 99177 | <1% | 1,192 | $4K | |
| 90670 | <1% | 1,797 | $4K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 90 | $4K |
| 90473 | <1% | 212 | $4K | |
| 90686 | <1% | 5,097 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 91 | $3K |
| 0071A | <1% | 69 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 26 | $2K |
| 0072A | <1% | 54 | $2K | |
| 90648 | <1% | 2,338 | $1K | |
| 99188 | <1% | 102 | $1K | |
| 90680 | <1% | 782 | $1K | |
| 90723 | <1% | 923 | $942.51 | |
| 85018 | <1% | 431 | $929.70 | |
| 36416 | <1% | 1,130 | $858.90 | |
| 0001A | <1% | 35 | $840.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $804.08 |
| 87634 | <1% | 15 | $646.15 | |
| 90480 | <1% | 18 | $604.00 | |
| 83655 | <1% | 51 | $586.70 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 45 | $586.37 |
| 90677 | <1% | 106 | $464.93 | |
| 87807 | <1% | 43 | $445.39 | |
| 0002A | <1% | 18 | $440.00 | |
| 94760 | <1% | 159 | $295.95 | |
| 0124A | <1% | 13 | $286.73 | |
| 90633 | <1% | 160 | $249.37 | |
| 90707 | <1% | 72 | $172.32 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $147.27 |
| 90672 | <1% | 274 | $137.83 | |
| 90716 | <1% | 28 | $94.14 | |
| 90660 | <1% | 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) | <1% | 12 | $9.00 |
| 90656 | <1% | 346 | $6.75 | |
| 91321 | <1% | 15 | $0.01 | |
| 91307 | 0% | 196 | $0.00 | |
| 90688 | 0% | 17 | $0.00 | |
| 91300 | 0% | 174 | $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 officialHAMBRICK, HORACE (PRESIDENT)