Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Pediatric Partners of Northern Kentucky

Pediatric Partners of Northern Kentucky was paid $2K by Medicaid between Feb 2024 and Apr 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.

33Billing provider infoPEDIATRIC PARTNERS OF NORTHERN KENTUCKY
FT WRIGHT, KY 41017
33aNPI1679270128assigned 02/14/2023
28Total paid$2K
24GClaims80
24DCodes billed3
24AFirst – last monthFeb 2024 – Apr 2024
Compared with peers

Next to other Pediatric Nurse Practitioner providers in Kentucky

Rank by total paid#21 of 27
Median peer was paid$37K
This provider vs. median0.1×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete80$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 61% 31 25 $1K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39% 28 26 $847.21
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) 0% 21 19 $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 officialSPRAGUE, REBECCA (OFFICE MANAGER)
Parent organizationPEDIATRIC PARTNERS OF NORTHERN KENTUCKY
Same official

Other billing entities under SPRAGUE, REBECCA

Full network →
ProviderLocationPaid
Pediatric Partners of Northern KentuckyFt Wright, KY$258K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.