Behavioral
Owensboro Pediatrics LLC
Owensboro Pediatrics LLC was paid $9.22M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoOWENSBORO PEDIATRICS LLC
OWENSBORO, KY 42303
OWENSBORO, KY 42303
33aNPI1720092240assigned 07/28/2006
33bProvider typeProfessional Counselor
28Total paid$9.22M
24GClaims277,627
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Kentucky
Rank by total paid#11 of 255
Median peer was paid$129K
This provider vs. median72×
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 | 44,257 | $1.28M | |
| 2019 | 42,197 | $1.26M | |
| 2020 | 32,867 | $1.05M | |
| 2021 | 36,719 | $1.21M | |
| 2022 | 42,713 | $1.40M | |
| 2023 | 42,025 | $1.54M | |
| 2024incomplete | 36,849 | $1.48M |
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 | 32% | 95,978 | 84,827 | $2.91M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 16,614 | 16,150 | $1.23M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 28,200 | 27,215 | $1.13M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.2% | 11,811 | 11,393 | $849K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.1% | 13,201 | 12,731 | $840K |
| 90461 | 7.6% | 17,728 | 17,125 | $702K | |
| 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 | 6.9% | 13,110 | 11,998 | $635K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 4,328 | 4,182 | $348K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 13,152 | 11,851 | $140K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 8,364 | 3,747 | $92K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,664 | 2,619 | $45K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,336 | 1,202 | $39K |
45 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 398 | $25K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 599 | $23K |
| 90837 | Psychotherapy session, about an hour | <1% | 270 | $21K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 394 | $19K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 368 | $18K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 196 | $17K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 541 | $16K |
| 99460 | <1% | 376 | $16K | |
| 87807 | <1% | 1,702 | $16K | |
| 90670 | <1% | 8,935 | $14K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 322 | $8K |
| 90698 | <1% | 8,773 | $7K | |
| 90680 | <1% | 6,376 | $6K | |
| 92587 | <1% | 153 | $6K | |
| 92558 | <1% | 827 | $6K | |
| 0071A | <1% | 156 | $6K | |
| 0072A | <1% | 124 | $5K | |
| 90710 | <1% | 2,498 | $4K | |
| 90633 | <1% | 4,524 | $4K | |
| 90688 | <1% | 3,580 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 136 | $2K |
| 90677 | <1% | 1,516 | $2K | |
| 90687 | <1% | 2,182 | $2K | |
| 90744 | <1% | 2,600 | $2K | |
| 90651 | <1% | 412 | $1K | |
| 0001A | <1% | 33 | $1K | |
| 99417 | Prolong home eval add 15m | <1% | 46 | $771.09 |
| 85018 | <1% | 256 | $580.54 | |
| 90697 | <1% | 1,223 | $564.30 | |
| 0002A | <1% | 14 | $520.00 | |
| 90480 | <1% | 14 | $480.00 | |
| 90473 | <1% | 32 | $456.86 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 58 | $422.30 |
| 90734 | <1% | 173 | $364.62 | |
| 90672 | <1% | 560 | $318.20 | |
| 90696 | <1% | 106 | $240.00 | |
| 90619 | <1% | 133 | $92.25 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $72.40 |
| 90658 | <1% | 198 | $25.79 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 30 | $6.41 |
| 81002 | <1% | 28 | $6.09 | |
| 90715 | <1% | 57 | $3.30 | |
| 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% | 15 | $0.00 |
| 90657 | 0% | 148 | $0.00 | |
| 90660 | 0% | 44 | $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 officialBUCK, WILLIAM (PRACTICE ADMINISTRATOR)