Physician
Healthway Internal Medicine & Pediatrics PLLC
Healthway Internal Medicine & Pediatrics PLLC was paid $2.63M by Medicaid between Jan 2018 and Nov 2024, across 83 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoHEALTHWAY INTERNAL MEDICINE & PEDIATRICS PLLC
ELIZABETHTOWN, KY 42701
ELIZABETHTOWN, KY 42701
33aNPI1881974160assigned 08/18/2011
33bProvider typePediatrics Physician
28Total paid$2.63M
24GClaims100,042
24DCodes billed83
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Kentucky
Rank by total paid#11 of 156
Median peer was paid$41K
This provider vs. median64×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official AHMED, SYED controls 12+ related entities in our dataset. Read more
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 | 15,547 | $470K | |
| 2019 | 14,517 | $430K | |
| 2020 | 10,366 | $296K | |
| 2021 | 14,692 | $368K | |
| 2022 | 14,178 | $413K | |
| 2023 | 13,921 | $355K | |
| 2024incomplete | 16,821 | $302K |
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 | 35% | 19,267 | 17,969 | $931K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 19,337 | 17,766 | $667K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 6.2% | 1,950 | 1,882 | $164K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 5.3% | 3,263 | 3,129 | $140K |
| 99173 | 3.9% | 2,956 | 2,907 | $103K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.3% | 3,230 | 3,087 | $88K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.1% | 2,931 | 1,918 | $56K |
| 99490 | Ccm add 20min | 1.5% | 3,214 | 2,888 | $39K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 2,551 | 2,451 | $36K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 586 | 581 | $35K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.2% | 445 | 439 | $32K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 420 | 399 | $32K |
71 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.2% | 300 | $32K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.0% | 314 | $27K |
| 80306 | 1.0% | 1,744 | $27K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,258 | $20K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 249 | $17K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 561 | $17K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 245 | $16K |
| 99442 | <1% | 341 | $16K | |
| 87430 | <1% | 1,019 | $16K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 981 | $15K |
| 90461 | <1% | 521 | $14K | |
| 99205 | Prolong outpt/office vis | <1% | 92 | $11K |
| 90688 | <1% | 767 | $9K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 235 | $8K |
| 90686 | <1% | 496 | $7K | |
| 90674 | <1% | 300 | $7K | |
| 80305 | <1% | 565 | $6K | |
| 90633 | <1% | 340 | $4K | |
| D1206 | Topical application of fluoride varnish | <1% | 288 | $4K |
| 90656 | <1% | 612 | $4K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 2,646 | $3K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 2,638 | $3K |
| 80061 | Lipid panel | <1% | 225 | $3K |
| 99407 | <1% | 78 | $3K | |
| 99406 | <1% | 321 | $3K | |
| 90677 | <1% | 13 | $2K | |
| 81003 | <1% | 1,957 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 37 | $2K |
| 90621 | <1% | 116 | $2K | |
| 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% | 4,005 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 26 | $2K |
| 84703 | <1% | 196 | $1K | |
| 87807 | <1% | 94 | $1K | |
| 99383 | <1% | 13 | $854.06 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 98 | $832.08 |
| 99188 | <1% | 56 | $778.87 | |
| 90649 | <1% | 61 | $736.00 | |
| 90734 | <1% | 42 | $653.20 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $622.75 |
| 87634 | <1% | 15 | $518.39 | |
| 90651 | <1% | 43 | $382.40 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 13 | $48.77 |
| 3008F | <1% | 7,226 | $39.73 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 382 | $32.50 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 334 | $32.50 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 18 | $25.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | <1% | 16 | $2.50 |
| 1126F | <1% | 686 | $0.99 | |
| 3074F | <1% | 720 | $0.94 | |
| 1170F | <1% | 412 | $0.69 | |
| 3078F | <1% | 532 | $0.59 | |
| 90756 | <1% | 16 | $0.46 | |
| 3079F | <1% | 187 | $0.24 | |
| 3075F | <1% | 48 | $0.06 | |
| 1159F | <1% | 530 | $0.06 | |
| 1160F | <1% | 566 | $0.06 | |
| 3080F | <1% | 17 | $0.04 | |
| 3077F | <1% | 21 | $0.04 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 457 | $0.02 |
| 1125F | <1% | 16 | $0.01 | |
| G0008 | Administration of influenza virus vaccine | 0% | 61 | $0.00 |
| 1036F | 0% | 347 | $0.00 | |
| 1101F | 0% | 84 | $0.00 | |
| 90620 | 0% | 13 | $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% | 1,985 | $0.00 |
| 3288F | 0% | 85 | $0.00 | |
| 2014F | 0% | 1,141 | $0.00 | |
| 4004F | 0% | 16 | $0.00 | |
| 99051 | 0% | 17 | $0.00 | |
| 90670 | 0% | 14 | $0.00 | |
| 90648 | 0% | 12 | $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 officialAHMED, SYED (OWNER)
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|---|---|---|
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| Antelope Valley Lung & Sleep Institute, INC | Palmdale, CA | $725K |
| Cleveland Psychiatry Associates LLC | Brecksville, OH | $517K |
| S H Ahmed MD PHD INC | El Centro, CA | $483K |
| Av Intensivist Group INC | Palmdale, CA | $93K |
| Zeedoc,llc | Las Vegas, NV | $65K |
| Capital Internal Medicine & Geriatrics, P.A. | Raleigh, NC | $61K |
| Psychiatric Care INC | Fredericksburg, VA | $54K |
| Western Labs Company | Chicago, IL | $8K |
| Advance Lab Company | Chicago, IL | $1K |
| Vital Signs Physicians FL PL | Kissimmee, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.