Clinic
Pediatric Associates of Elizabethtown, PLLC
Pediatric Associates of Elizabethtown, PLLC was paid $1.35M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES OF ELIZABETHTOWN, PLLC
ELIZABETHTOWN, KY 42701
ELIZABETHTOWN, KY 42701
33aNPI1891855359assigned 12/12/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$1.35M
24GClaims43,502
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Kentucky
Rank by total paid#7 of 44
Median peer was paid$145K
This provider vs. median9.3×
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 | 5,325 | $145K | |
| 2019 | 5,415 | $163K | |
| 2020 | 3,948 | $113K | |
| 2021 | 5,519 | $190K | |
| 2022 | 8,107 | $253K | |
| 2023 | 7,565 | $251K | |
| 2024incomplete | 7,623 | $233K |
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 | 55% | 19,117 | 17,238 | $745K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 4,179 | 4,083 | $193K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.0% | 4,816 | 4,533 | $67K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 809 | 783 | $61K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.7% | 776 | 733 | $50K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.6% | 1,246 | 1,193 | $48K |
| 90461 | 3.4% | 1,377 | 1,359 | $46K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.2% | 2,461 | 1,438 | $43K |
| 99173 | 1.6% | 1,453 | 1,423 | $22K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 575 | 559 | $18K |
| 92551 | 1.1% | 1,332 | 1,303 | $14K | |
| 87430 | <1% | 685 | 664 | $11K |
22 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 129 | $9K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 86 | $5K |
| 90686 | <1% | 1,309 | $4K | |
| 97802 | <1% | 401 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 242 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 255 | $2K |
| 99408 | <1% | 40 | $1K | |
| 36416 | <1% | 341 | $595.65 | |
| 87807 | <1% | 48 | $529.00 | |
| 90670 | <1% | 155 | $406.40 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 28 | $270.78 |
| 90648 | <1% | 206 | $222.40 | |
| 81002 | <1% | 50 | $140.11 | |
| 90656 | <1% | 82 | $44.75 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 27 | $21.73 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 28 | $1.02 |
| 3008F | <1% | 1,090 | $0.27 | |
| 2014F | <1% | 67 | $0.25 | |
| 90671 | 0% | 26 | $0.00 | |
| 90723 | 0% | 26 | $0.00 | |
| 90680 | 0% | 26 | $0.00 | |
| 90660 | 0% | 14 | $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 officialBALL, MARQUITA (PARTNER)