Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WESTSIDE PEDIATRICS PSC

NPI: 1922155407 · LEXINGTON, KY 40504 · Pediatrics Physician · NPI assigned 01/05/2007

$25K
Total Medicaid Paid
755
Total Claims
633
Beneficiaries
7
Codes Billed
2021-01
First Month
2023-03
Last Month

Provider Details

Authorized OfficialBOSOMWORTH, REBECCA (PRESIDENT)
NPI Enumeration Date01/05/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 487 $16K
2022 212 $7K
2023 56 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 546 442 $19K
90460 Immunization administration through 18 years of age via any route, first or only component 121 112 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 20 13 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 13 12 $363.50
90686 26 25 $80.76
85018 16 16 $36.54
81002 13 13 $25.34