Kid Care, PSC
Kid Care, PSC was paid $1.87M by Medicaid between Jan 2018 and Mar 2020, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoKID CARE, PSC
MAYSVILLE, KY 41056
MAYSVILLE, KY 41056
33aNPI1760589873assigned 09/20/2006
33bProvider typeSpecialist
28Total paid$1.87M
24GClaims52,853
24DCodes billed28
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Specialist providers in Kentucky
Rank by total paid#7 of 73
Median peer was paid$107K
This provider vs. median17×
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 | 23,175 | $854K | |
| 2019 | 22,714 | $814K | |
| 2020 | 6,964 | $200K |
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 | 57% | 25,859 | 21,929 | $1.06M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.9% | 3,081 | 2,814 | $184K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.6% | 2,601 | 2,462 | $180K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.6% | 1,769 | 1,681 | $123K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.9% | 5,675 | 2,700 | $73K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 876 | 840 | $71K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.5% | 3,872 | 3,614 | $47K |
| 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 | 1.6% | 485 | 454 | $30K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,050 | 939 | $18K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,154 | 1,951 | $18K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,094 | 1,057 | $15K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 649 | 600 | $9K |
16 more codes
| 90633 | <1% | 328 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 247 | $7K |
| 86756 | <1% | 423 | $6K | |
| 83655 | <1% | 274 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 85 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,130 | $3K |
| 90688 | <1% | 170 | $2K | |
| 99460 | <1% | 41 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 164 | $2K |
| 90685 | <1% | 118 | $2K | |
| 99462 | <1% | 51 | $1K | |
| 86308 | <1% | 101 | $490.09 | |
| 81002 | <1% | 312 | $344.54 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 30 | $307.45 |
| 94760 | <1% | 197 | $57.52 | |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 17 | $53.96 |
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 officialMCDOWELL, KRISTEN (OFFICE MANAGER)