Corbin Pediatric Associates PSC

Corbin Pediatric Associates PSC was paid $4.20M by Medicaid between Jan 2018 and Apr 2023, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoCORBIN PEDIATRIC ASSOCIATES PSC
CORBIN, KY 40701

33aNPI1609960830assigned 10/03/2006

33bProvider typePediatric Nurse Practitioner

28Total paid$4.20M

24GClaims176,879

24DCodes billed44

24AFirst – last monthJan 2018 – Apr 2023

Compared with peers

Next to other Pediatric Nurse Practitioner providers in Kentucky

Rank by total paid#2 of 27

Median peer was paid$37K

This provider vs. median114×

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	33,360	$765K
2019	34,103	$792K
2020	30,824	$695K
2021	35,113	$817K
2022	32,716	$847K
2023	10,763	$283K

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	52%	63,412	56,439	$2.19M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	18%	13,138	12,067	$751K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	17%	10,695	10,393	$703K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.0%	3,739	3,650	$252K
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	4.7%	3,367	3,057	$198K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.1%	590	581	$46K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,381	1,322	$39K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	13,483	12,666	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	55	48	$4K
90670		<1%	8,847	8,540	$3K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	23,026	22,162	$1K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	28	25	$1K

32 more codes

90698		<1%	4,683	$779.48
0072A		<1%	41	$670.00
90680		<1%	5,091	$661.59
99051		<1%	110	$264.70
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	2,017	$224.11
90686		<1%	3,847	$184.21
83655		<1%	1,564	$141.76
90697		<1%	641	$99.58
90716		<1%	58	$94.17
90744		<1%	2,062	$74.93
90633		<1%	4,062	$62.90
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	337	$42.94
85018		<1%	1,993	$12.91
92555		<1%	207	$10.64
99072		<1%	1,190	$10.00
81003		<1%	435	$9.70
82465		<1%	63	$1.89
91307		<1%	163	$0.19
90707		<1%	116	$0.03
90710		<1%	80	$0.02
90696		<1%	37	$0.02
99001		0%	4,438	$0.00
90734		0%	242	$0.00
90685		0%	13	$0.00
888888		0%	719	$0.00
90649		0%	104	$0.00
90715		0%	48	$0.00
69210		0%	26	$0.00
90700		0%	27	$0.00
90648		0%	12	$0.00
99000		0%	615	$0.00
90651		0%	77	$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 officialMAY, VERNON (MANAGING PARTNER)