Physician
Bluegrass Family Medicine & Pediatrics PLLC
Bluegrass Family Medicine & Pediatrics PLLC was paid $1.50M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 81% of everything it billed.
33Billing provider infoBLUEGRASS FAMILY MEDICINE & PEDIATRICS PLLC
LANCASTER, KY 40444
LANCASTER, KY 40444
33aNPI1730573452assigned 03/19/2015
33bProvider typePediatrics Physician
28Total paid$1.50M
24GClaims42,438
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Kentucky
Rank by total paid#20 of 156
Median peer was paid$41K
This provider vs. median36×
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 | 4,708 | $136K | |
| 2019 | 4,952 | $163K | |
| 2020 | 5,729 | $220K | |
| 2021 | 7,140 | $280K | |
| 2022 | 5,714 | $208K | |
| 2023 | 5,758 | $247K | |
| 2024incomplete | 8,437 | $244K |
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 | 81% | 33,868 | 21,197 | $1.21M |
| 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 | 14% | 4,013 | 3,220 | $207K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.1% | 345 | 296 | $31K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 340 | 299 | $22K |
| 87631 | <1% | 64 | 60 | $6K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 274 | 173 | $6K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 119 | 112 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 52 | 50 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 246 | 216 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 15 | 14 | $1K |
| 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) | <1% | 2,839 | 2,003 | $1K |
| 90461 | <1% | 30 | 25 | $1K |
10 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 34 | $730.00 |
| 0011A | <1% | 19 | $660.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 21 | $435.12 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 38 | $194.37 |
| 90656 | <1% | 22 | $136.40 | |
| 90633 | <1% | 37 | $77.50 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $44.00 |
| 91301 | 0% | 19 | $0.00 | |
| 99000 | 0% | 17 | $0.00 | |
| 99386 | 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 officialARAIN, TARIQ (CONSULTANT)
| Provider | Location | Paid |
|---|---|---|
| A1 Health Care Clinic | Lebanon, KY | $554K |
| Adis Diagnostics LLC | Lancaster, KY | $237K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.