NP / PA
Taylor Regional Medical Group, LLC
Taylor Regional Medical Group, LLC was paid $2.76M by Medicaid between Jan 2018 and Nov 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoTAYLOR REGIONAL MEDICAL GROUP, LLC
CAMPBELLSVILLE, KY 42718
CAMPBELLSVILLE, KY 42718
33aNPI1649720699assigned 10/13/2016
33bProvider typeFamily Nurse Practitioner
28Total paid$2.76M
24GClaims98,556
24DCodes billed53
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Kentucky
Rank by total paid#7 of 424
Median peer was paid$19K
This provider vs. median147×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official WALDRON, DEBRA controls 11+ related entities in our dataset. Read more
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 | 14,683 | $316K | |
| 2019 | 16,682 | $392K | |
| 2020 | 13,420 | $359K | |
| 2021 | 14,656 | $429K | |
| 2022 | 15,623 | $482K | |
| 2023 | 13,144 | $394K | |
| 2024incomplete | 10,348 | $390K |
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% | 26,771 | 24,274 | $921K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 5,442 | 5,111 | $323K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 4,581 | 4,399 | $294K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 7.5% | 3,043 | 2,831 | $207K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.6% | 9,841 | 9,333 | $127K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 4.4% | 4,720 | 4,433 | $122K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.8% | 6,826 | 6,477 | $106K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.6% | 2,465 | 2,353 | $98K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 1,577 | 1,492 | $94K |
| 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 | 2.8% | 1,409 | 1,330 | $79K |
| 87634 | 2.5% | 1,280 | 1,206 | $68K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.9% | 839 | 813 | $54K |
41 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 3,310 | $42K |
| 97802 | 1.3% | 3,914 | $36K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 2,548 | $34K |
| 90461 | 1.1% | 629 | $30K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 393 | $25K |
| 99460 | <1% | 511 | $20K | |
| 99173 | <1% | 340 | $14K | |
| 90474 | <1% | 1,293 | $11K | |
| 87807 | <1% | 630 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 316 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 101 | $6K |
| 90670 | <1% | 3,189 | $4K | |
| 83655 | <1% | 356 | $4K | |
| 96161 | <1% | 1,160 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 127 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 343 | $2K |
| 90680 | <1% | 1,560 | $2K | |
| 90723 | <1% | 1,938 | $2K | |
| 99462 | <1% | 82 | $2K | |
| 97803 | <1% | 219 | $2K | |
| 0071A | <1% | 42 | $1K | |
| 0072A | <1% | 36 | $1K | |
| 90633 | <1% | 1,021 | $1K | |
| 54150 | <1% | 13 | $976.26 | |
| 90686 | <1% | 1,434 | $875.63 | |
| 96160 | <1% | 339 | $864.50 | |
| 90647 | <1% | 475 | $786.82 | |
| 90648 | <1% | 2,668 | $727.38 | |
| 99177 | <1% | 219 | $584.22 | |
| 99188 | <1% | 42 | $490.10 | |
| 90734 | <1% | 34 | $271.62 | |
| 90649 | <1% | 51 | $233.38 | |
| 99174 | <1% | 13 | $197.40 | |
| 90700 | <1% | 76 | $92.00 | |
| 90710 | <1% | 52 | $36.80 | |
| 90696 | <1% | 40 | $36.80 | |
| 81003 | <1% | 65 | $31.93 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 59 | $31.52 |
| 36416 | <1% | 85 | $23.70 | |
| 90656 | <1% | 25 | $12.40 | |
| 90685 | 0% | 14 | $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 officialWALDRON, DEBRA (COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Taylor Regional Medical Group,llc | Campbellsville, KY | $2.07M |
| Taylor Regional Medical Group, LLC | Campbellsville, KY | $1.19M |
| Taylor Regional Medical Group LLC | Campbellsville, KY | $892K |
| Taylor Regional Medical Group,llc | Campbellsville, KY | $646K |
| Taylor Regional Medical Group, LLC | Campbellsville, KY | $490K |
| Taylor Regional Medical Group,llc | Campbellsville, KY | $203K |
| Taylor Regional Medical Group, LLC | Campbellsville, KY | $193K |
| Taylor Regional Medical Group LLC | Campbellsville, KY | $166K |
| Taylor Regional Medical Group | Campbellsville, KY | $108K |
| Taylor Regional Medical Group | Campbellsville, KY | $106K |
| Taylor Regional Medical Group, LLC | Campbellsville, KY | $92K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.