Physician
Pediatric Associates
Pediatric Associates was paid $2.35M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES
PIKEVILLE, KY 41501
PIKEVILLE, KY 41501
33aNPI1851348338assigned 05/28/2006
33bProvider typePediatrics Physician
28Total paid$2.35M
24GClaims82,734
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Kentucky
Rank by total paid#13 of 156
Median peer was paid$41K
This provider vs. median57×
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 | 10,750 | $259K | |
| 2019 | 11,241 | $283K | |
| 2020 | 11,644 | $340K | |
| 2021 | 12,184 | $333K | |
| 2022 | 12,611 | $396K | |
| 2023 | 12,911 | $405K | |
| 2024incomplete | 11,393 | $333K |
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 | 71% | 52,146 | 37,969 | $1.68M |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.1% | 4,342 | 3,422 | $96K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.9% | 2,358 | 2,159 | $69K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.9% | 2,350 | 2,229 | $68K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.4% | 1,476 | 776 | $57K |
| T2023 | Targeted case management; per month | 2.4% | 204 | 167 | $56K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.1% | 3,810 | 3,533 | $50K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.6% | 2,321 | 1,998 | $38K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 533 | 509 | $30K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 510 | 485 | $28K |
| 90461 | 1.1% | 1,073 | 1,022 | $26K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 346 | 330 | $22K |
41 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,103 | $21K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 405 | $19K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,363 | $16K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 197 | $10K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 119 | $9K |
| 90686 | <1% | 541 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 569 | $8K |
| 92567 | <1% | 461 | $5K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 75 | $5K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 248 | $5K |
| 90837 | Psychotherapy session, about an hour | <1% | 55 | $5K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 42 | $4K |
| 87807 | <1% | 320 | $4K | |
| 94010 | <1% | 136 | $3K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 61 | $2K |
| 84703 | <1% | 414 | $2K | |
| 95117 | <1% | 150 | $2K | |
| 90688 | <1% | 271 | $814.29 | |
| 90651 | <1% | 104 | $797.60 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 133 | $764.53 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 262 | $567.21 |
| 94060 | <1% | 18 | $552.39 | |
| 87420 | <1% | 43 | $460.46 | |
| 81002 | <1% | 925 | $409.73 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 37 | $293.67 |
| 90633 | <1% | 296 | $263.38 | |
| 90670 | <1% | 282 | $233.60 | |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | <1% | 33 | $157.20 |
| 81025 | <1% | 25 | $155.58 | |
| Q3014 | Telehealth originating site facility fee | <1% | 50 | $67.32 |
| 90707 | <1% | 27 | $65.00 | |
| 90648 | <1% | 105 | $55.20 | |
| 90734 | <1% | 140 | $55.20 | |
| 90685 | <1% | 60 | $36.80 | |
| 90715 | <1% | 31 | $35.64 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | $21.41 |
| 90723 | <1% | 78 | $18.40 | |
| 90647 | 0% | 29 | $0.00 | |
| 90680 | 0% | 19 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 99499 | 0% | 13 | $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 officialSO, DJIEN (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Aaron K. Jonan Memorial Clinic INC. | Jackson, KY | $1.84M |
| Pediatric Associates | Stanton, KY | $1.24M |
| Salyersville Medical Center, LLC | Salyersville, KY | $1.20M |
| Medical Investment Trust | Pikeville, KY | $841K |
| Pediatric Associates | Hazard, KY | $565K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.