Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Premier Pediatrics, PLLC

Premier Pediatrics, PLLC was paid $279K by Medicaid between Mar 2023 and Dec 2024, across 12 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 37% of everything it billed.

33Billing provider infoPREMIER PEDIATRICS, PLLC
LEXINGTON, KY 40509
33aNPI1801529854assigned 07/07/2022
33bProvider typePhysician Assistant
28Total paid$279K
24GClaims10,970
24DCodes billed12
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers

Next to other Physician Assistant providers in Kentucky

Rank by total paid#86 of 214
Median peer was paid$134K
This provider vs. median2.1×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20235,343$129K
2024incomplete5,627$150K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 37% 1,943 1,821 $103K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28% 2,666 2,499 $79K
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 11% 409 380 $30K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 7.4% 253 236 $21K
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% 428 407 $19K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3.9% 1,018 970 $11K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2.6% 256 243 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.2% 561 266 $6K
S9088 Services provided in an urgent care center (list in addition to code for service) <1% 1,088 942 $1K
87807 <1% 112 94 $916.38
99051 <1% 2,220 2,075 $225.06
H0033 Oral medication administration, direct observation <1% 16 16 $10.63

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 officialKOSTELNIK, LAUREN (PHYSICIAN OWNER)