NP / PA
Pediatrix Medical Group of Kentucky PSC
Pediatrix Medical Group of Kentucky PSC was paid $1.35M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99479, Subsequent intensive care, per day, very low birth weight infant — 23% of everything it billed.
33Billing provider infoPEDIATRIX MEDICAL GROUP OF KENTUCKY PSC
LEXINGTON, KY 40503
LEXINGTON, KY 40503
33aNPI1821195520assigned 09/17/2006
33bProvider typePhysician Assistant
28Total paid$1.35M
24GClaims35,694
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physician Assistant providers in Kentucky
Rank by total paid#42 of 214
Median peer was paid$134K
This provider vs. median10×
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 | 8,457 | $361K | |
| 2019 | 6,698 | $237K | |
| 2020 | 6,890 | $211K | |
| 2021 | 5,518 | $199K | |
| 2022 | 3,263 | $151K | |
| 2023 | 2,655 | $109K | |
| 2024incomplete | 2,213 | $81K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 23% | 4,377 | 1,639 | $317K |
| 99238 | Hospital discharge day management, 30 minutes or less | 19% | 6,880 | 6,177 | $261K |
| 92586 | 18% | 10,336 | 9,202 | $242K | |
| 99460 | 15% | 6,332 | 5,631 | $200K | |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 13% | 714 | 337 | $175K |
| 99462 | 7.2% | 5,655 | 4,478 | $97K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 3.1% | 526 | 209 | $41K |
| 92650 | <1% | 643 | 464 | $9K | |
| 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% | 73 | 53 | $2K |
| 59025 | Fetal non-stress test | <1% | 102 | 73 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 21 | 17 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 35 | 26 | $984.84 |
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 officialASHFORD, MICHAEL (ASSISTANT SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Pediatrix Medical Group of Tennessee, P.C. | Nashville, TN | $32.29M |
| Pediatrix Medical Group of Louisiana, L.L.C. | Richardson, TX | $6.20M |
| Magella Medical Associates Midwest PC | Sunrise, FL | $4.27M |
| Pediatrix Medical Group of Missouri, P.C. | Saint Louis, MO | $3.93M |
| Pediatrix Cardiology of Springfield PC | Sunrise, FL | $2.69M |
| Ozark Neonatal Associates, INC. | Springfield, MO | $1.32M |
| Pediatrix Medical Group Ambulatory Services of TN, PLLC | Sunrise, FL | $742K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.