NP / PA
University Pediatric Pulmonary, LLC
University Pediatric Pulmonary, LLC was paid $302K by Medicaid between Jan 2018 and Feb 2020, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoUNIVERSITY PEDIATRIC PULMONARY, LLC
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
33aNPI1891026035assigned 01/28/2010
33bProvider typePediatric Nurse Practitioner
28Total paid$302K
24GClaims5,645
24DCodes billed10
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Kentucky
Rank by total paid#6 of 27
Median peer was paid$37K
This provider vs. median8.2×
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 | 2,878 | $153K | |
| 2019 | 2,416 | $132K | |
| 2020 | 351 | $17K |
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 | 57% | 2,839 | 2,748 | $171K |
| 94060 | 15% | 1,055 | 994 | $45K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 12% | 310 | 302 | $35K |
| 94010 | 10.0% | 1,052 | 1,031 | $30K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.3% | 134 | 60 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 87 | 86 | $4K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 39 | 39 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 51 | 30 | $3K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 65 | 37 | $3K |
| 99254 | <1% | 13 | 13 | $1K |
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 officialRABALAIS, GERARD (CHAIRMAN)
| Provider | Location | Paid |
|---|---|---|
| University Pediatrics Foundation, INC. | Louisville, KY | $4.15M |
| University Pediatric Endocrinology, LLC | Louisville, KY | $316K |
| University Children's Sleep Medicine Specialists, LLC | Louisville, KY | $76K |
| University Children's Kidney Specialists, LLC | Louisville, KY | $37K |
| University Pediatrics Infectious Diseases, LLC | Louisville, KY | $30K |
| University Pediatric Gastroenterology, LLC | Louisville, KY | $16K |
| University Pediatric Rheumatology of Kentucky LLC | Louisville, KY | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.