NP / PA
DR. Butler & Associates, PLLC
DR. Butler & Associates, PLLC was paid $86K by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 85% of everything it billed.
33Billing provider infoDR. BUTLER & ASSOCIATES, PLLC
PADUCAH, KY 42003
PADUCAH, KY 42003
33aNPI1801928189assigned 03/12/2007
33bProvider typePhysician Assistant
28Total paid$86K
24GClaims20,737
24DCodes billed39
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physician Assistant providers in Kentucky
Rank by total paid#120 of 214
Median peer was paid$134K
This provider vs. median0.6×
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 | 5,317 | $18K | |
| 2019 | 2,159 | $5K | |
| 2020 | 1,089 | $1K | |
| 2021 | 1,878 | $8K | |
| 2022 | 3,081 | $20K | |
| 2023 | 3,819 | $21K | |
| 2024incomplete | 3,394 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 85% | 2,677 | 2,287 | $73K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10.0% | 384 | 339 | $9K |
| 99307 | 2.7% | 303 | 303 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.4% | 12 | 12 | $1K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 328 | 320 | $650.38 |
| 90686 | <1% | 25 | 25 | $80.94 | |
| 3017F | <1% | 1,193 | 1,064 | $67.10 | |
| 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% | 225 | 161 | $49.78 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 2,085 | 1,844 | $42.63 |
| 90756 | <1% | 13 | 13 | $17.94 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 72 | 72 | $16.41 |
| 80305 | <1% | 13 | 13 | $10.61 |
27 more codes
| G0008 | Administration of influenza virus vaccine | <1% | 69 | $8.44 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,080 | $0.11 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,717 | $0.00 |
| 4040F | 0% | 380 | $0.00 | |
| 3078F | 0% | 573 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 308 | $0.00 |
| 4004F | 0% | 140 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 609 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 630 | $0.00 |
| 1159F | 0% | 663 | $0.00 | |
| 3725F | 0% | 328 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 151 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 60 | $0.00 |
| 1160F | 0% | 222 | $0.00 | |
| 1036F | 0% | 3,100 | $0.00 | |
| 3008F | 0% | 1,006 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 119 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 87 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 787 | $0.00 |
| 3074F | 0% | 512 | $0.00 | |
| 1125F | 0% | 298 | $0.00 | |
| 3075F | 0% | 164 | $0.00 | |
| 3079F | 0% | 189 | $0.00 | |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 19 | $0.00 |
| 1126F | 0% | 110 | $0.00 | |
| 1034F | 0% | 30 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 56 | $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 officialBUTLER, LORI (OFFICE MANAGER)