River Hills Pediatrics

River Hills Pediatrics was paid $1.06M by Medicaid between Jan 2018 and Jan 2022, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoRIVER HILLS PEDIATRICS
SOUTHGATE, KY 41071

33aNPI1871647818assigned 01/23/2007

33bProvider typePhysician Assistant

28Total paid$1.06M

24GClaims35,012

24DCodes billed43

24AFirst – last monthJan 2018 – Jan 2022

Compared with peers

Next to other Physician Assistant providers in Kentucky

Rank by total paid#50 of 214

Median peer was paid$134K

This provider vs. median7.9×

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	10,104	$318K
2019	8,785	$272K
2020	7,210	$228K
2021	8,377	$231K
2022	536	$15K

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	32%	9,264	7,814	$340K
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	18%	3,210	2,926	$189K
90460	Immunization administration through 18 years of age via any route, first or only component	10%	3,515	3,242	$109K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	6.9%	1,006	954	$73K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	6.2%	1,094	1,017	$66K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.6%	797	776	$60K
96110	Developmental screening, with scoring and documentation, per standardized instrument	4.6%	1,767	1,614	$48K
90461		4.3%	1,352	1,282	$46K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.0%	389	368	$32K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.6%	1,422	1,298	$17K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.5%	1,306	657	$16K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.2%	473	437	$12K

31 more codes

87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	1.1%	533	$12K
90670		<1%	801	$8K
99215	Doctor's office visit, returning patient (complex)	<1%	98	$8K
96127		<1%	2,154	$7K
90686		<1%	785	$3K
90698		<1%	555	$3K
99051		<1%	363	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	129	$2K
83655		<1%	149	$2K
90716		<1%	221	$1K
90707		<1%	141	$1K
90473		<1%	82	$1K
90633		<1%	808	$1K
99050		<1%	43	$850.00
90680		<1%	353	$686.70
92552		<1%	57	$685.44
94760		<1%	824	$365.00
90734		<1%	114	$234.82
90700		<1%	27	$164.29
90744		<1%	172	$155.22
82465		<1%	53	$132.48
86308		<1%	40	$104.33
90672		<1%	213	$98.40
90685		<1%	149	$96.22
85013		<1%	40	$74.65
90715		<1%	56	$63.68
81002		<1%	43	$36.10
94761		<1%	23	$33.62
Q3014	Telehealth originating site facility fee	<1%	341	$12.50
90696		0%	25	$0.00
1005F		0%	25	$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 officialOTREMBIAK, JAMES (PRESIDENT)