NP / PA
Kaplan Barron Pediatrics PLLC
Kaplan Barron Pediatrics PLLC was paid $1.82M by Medicaid between Aug 2020 and Dec 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoKAPLAN BARRON PEDIATRICS PLLC
LOUISVILLE, KY 40218
LOUISVILLE, KY 40218
33aNPI1699396507assigned 05/01/2020
33bProvider typeNurse Practitioner
28Total paid$1.82M
24GClaims62,028
24DCodes billed51
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#29 of 260
Median peer was paid$89K
This provider vs. median20×
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 | |
|---|---|---|---|
| 2020 | 4,844 | $64K | |
| 2021 | 12,539 | $369K | |
| 2022 | 16,576 | $505K | |
| 2023 | 14,676 | $472K | |
| 2024incomplete | 13,393 | $414K |
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 | 25% | 12,682 | 11,600 | $462K |
| 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 | 23% | 7,387 | 6,824 | $418K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 6,007 | 5,322 | $195K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 9.9% | 4,004 | 3,782 | $181K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 6.3% | 1,356 | 1,277 | $114K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 6.1% | 3,494 | 3,339 | $111K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.2% | 1,158 | 1,071 | $76K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.1% | 2,129 | 1,933 | $56K |
| 90461 | 2.9% | 1,391 | 1,230 | $54K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 757 | 688 | $49K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 396 | 361 | $23K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 157 | 156 | $13K |
39 more codes
| 96127 | <1% | 4,070 | $12K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,717 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 409 | $6K |
| 36416 | <1% | 2,546 | $6K | |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | <1% | 12 | $5K |
| 87634 | <1% | 77 | $5K | |
| 99408 | <1% | 271 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 150 | $4K |
| 96160 | <1% | 1,431 | $4K | |
| 99173 | <1% | 96 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 30 | $2K |
| 87631 | <1% | 14 | $2K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 58 | $2K |
| 90686 | <1% | 2,619 | $1K | |
| 90480 | <1% | 30 | $1K | |
| 92552 | <1% | 64 | $704.05 | |
| 99174 | <1% | 27 | $541.50 | |
| 0072A | <1% | 14 | $535.60 | |
| 80061 | Lipid panel | <1% | 41 | $478.00 |
| 0071A | <1% | 35 | $446.40 | |
| 81001 | <1% | 141 | $421.62 | |
| 99072 | <1% | 321 | $350.00 | |
| 92583 | <1% | 13 | $333.87 | |
| 99051 | <1% | 293 | $120.00 | |
| 90661 | <1% | 244 | $50.42 | |
| 94760 | <1% | 33 | $21.57 | |
| 99000 | <1% | 43 | $17.50 | |
| 3008F | <1% | 4,455 | $7.45 | |
| 2014F | <1% | 884 | $1.16 | |
| 90688 | <1% | 102 | $1.01 | |
| 90672 | <1% | 78 | $0.69 | |
| 90698 | <1% | 71 | $0.62 | |
| 90670 | <1% | 46 | $0.39 | |
| 90671 | <1% | 26 | $0.25 | |
| 90680 | <1% | 12 | $0.11 | |
| 90619 | <1% | 15 | $0.02 | |
| 91307 | <1% | 146 | $0.02 | |
| 888888 | 0% | 459 | $0.00 | |
| 91300 | 0% | 17 | $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 officialABRAMS, KAREN (PARTNER)