Physician
Paintsville Pediatric Associates
Paintsville Pediatric Associates was paid $2.09M by Medicaid between Jan 2018 and Mar 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoPAINTSVILLE PEDIATRIC ASSOCIATES
PAINTSVILLE, KY 41240
PAINTSVILLE, KY 41240
33aNPI1669523460assigned 01/16/2007
33bProvider typeFamily Medicine Physician
28Total paid$2.09M
24GClaims68,992
24DCodes billed41
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#38 of 352
Median peer was paid$90K
This provider vs. median23×
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 | 19,887 | $599K | |
| 2019 | 14,405 | $378K | |
| 2020 | 10,271 | $285K | |
| 2021 | 9,371 | $287K | |
| 2022 | 6,980 | $250K | |
| 2023 | 7,399 | $260K | |
| 2024incomplete | 679 | $27K |
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% | 29,726 | 24,861 | $984K |
| 99441 | 16% | 8,260 | 6,481 | $342K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.8% | 2,019 | 1,934 | $121K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.8% | 4,928 | 4,673 | $120K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.0% | 1,511 | 1,473 | $105K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 1,207 | 1,164 | $74K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.6% | 3,921 | 3,682 | $53K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.4% | 3,850 | 3,669 | $50K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.1% | 715 | 681 | $44K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 586 | 531 | $31K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.4% | 2,020 | 1,927 | $29K |
| 99050 | 1.1% | 576 | 546 | $24K |
29 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,232 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 691 | $17K |
| 92567 | <1% | 1,300 | $16K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 289 | $14K |
| 99188 | <1% | 319 | $9K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 610 | $8K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 134 | $7K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 293 | $7K |
| 99174 | <1% | 337 | $5K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 49 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 83 | $1K |
| 81000 | <1% | 512 | $859.46 | |
| 90633 | <1% | 817 | $655.81 | |
| 90651 | <1% | 307 | $371.00 | |
| 90658 | <1% | 25 | $340.72 | |
| 90686 | <1% | 595 | $303.25 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 16 | $270.32 |
| 90648 | <1% | 531 | $217.17 | |
| 90670 | <1% | 483 | $210.01 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $199.58 |
| 90723 | <1% | 195 | $106.40 | |
| 90734 | <1% | 345 | $70.91 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 79 | $58.47 |
| 90680 | <1% | 69 | $56.23 | |
| 90710 | <1% | 162 | $35.75 | |
| 90715 | 0% | 90 | $0.00 | |
| 90685 | 0% | 29 | $0.00 | |
| 90696 | 0% | 29 | $0.00 | |
| 90620 | 0% | 36 | $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 officialKHATTAB, YASSIN (PRESIDENT)