Clinic
Danville Pediatrics Medical Group PLLC
Danville Pediatrics Medical Group PLLC was paid $396K by Medicaid between May 2022 and Dec 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoDANVILLE PEDIATRICS MEDICAL GROUP PLLC
LAWRENCEBURG, KY 40342
LAWRENCEBURG, KY 40342
33aNPI1770248775assigned 11/03/2021
33bProvider typeRural Health Clinic/Center
28Total paid$396K
24GClaims13,442
24DCodes billed27
24AFirst – last monthMay 2022 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#137 of 265
Median peer was paid$400K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2022 | 3,556 | $107K | |
| 2023 | 4,774 | $146K | |
| 2024incomplete | 5,112 | $142K |
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 | 59% | 7,252 | 6,523 | $233K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.3% | 992 | 963 | $37K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.3% | 489 | 479 | $29K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.0% | 372 | 364 | $20K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.2% | 1,219 | 1,143 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.0% | 305 | 275 | $16K |
| 90461 | 3.7% | 513 | 501 | $15K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.8% | 821 | 393 | $11K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.8% | 374 | 357 | $7K |
| 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 | 1.2% | 99 | 95 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 45 | 45 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 93 | 88 | $2K |
15 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 26 | $659.85 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 15 | $641.35 |
| 96127 | <1% | 158 | $452.77 | |
| 83655 | <1% | 24 | $272.46 | |
| 96161 | <1% | 137 | $159.51 | |
| 94760 | <1% | 88 | $140.14 | |
| 85018 | <1% | 25 | $55.71 | |
| 90688 | <1% | 33 | $42.48 | |
| 90633 | <1% | 44 | $41.99 | |
| 36416 | <1% | 12 | $24.52 | |
| 90670 | <1% | 157 | $10.00 | |
| 90671 | <1% | 13 | $5.00 | |
| 90680 | 0% | 61 | $0.00 | |
| 90697 | 0% | 46 | $0.00 | |
| 3008F | 0% | 29 | $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 officialSTRINGER, JANET (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Danville Pediatrics Medical Group PLLC | Danville, KY | $3.60M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.