Physician
Ashland Children's Clinic
Ashland Children's Clinic was paid $1.21M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoASHLAND CHILDREN'S CLINIC
ASHLAND, KY 41101
ASHLAND, KY 41101
33aNPI1609931658assigned 12/27/2006
33bProvider typePediatrics Physician
28Total paid$1.21M
24GClaims35,252
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Kentucky
Rank by total paid#26 of 156
Median peer was paid$41K
This provider vs. median29×
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 | 8,066 | $249K | |
| 2019 | 6,891 | $229K | |
| 2020 | 4,838 | $147K | |
| 2021 | 3,921 | $136K | |
| 2022 | 4,227 | $157K | |
| 2023 | 4,079 | $158K | |
| 2024incomplete | 3,230 | $133K |
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 | 47% | 14,405 | 12,847 | $565K |
| 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 | 15% | 3,164 | 2,912 | $184K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 4,815 | 4,392 | $134K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.3% | 2,920 | 2,848 | $89K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.4% | 692 | 685 | $53K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.4% | 716 | 697 | $53K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 565 | 547 | $37K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.4% | 1,010 | 873 | $28K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 1,411 | 1,351 | $21K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 636 | 591 | $19K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 747 | 736 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 53 | 53 | $5K |
15 more codes
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 officialPOTTER, JOHN (PRESIDENT)