NP / PA
Pediatric & Adolescent Associates
Pediatric & Adolescent Associates was paid $567K by Medicaid between Jan 2018 and Jan 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.
33Billing provider infoPEDIATRIC & ADOLESCENT ASSOCIATES
LEXINGTON, KY 40503
LEXINGTON, KY 40503
33aNPI1952402091assigned 09/25/2006
33bProvider typeNurse Practitioner
28Total paid$567K
24GClaims18,081
24DCodes billed18
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#56 of 260
Median peer was paid$89K
This provider vs. median6.4×
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 | 3,565 | $122K | |
| 2019 | 3,883 | $122K | |
| 2020 | 2,096 | $61K | |
| 2021 | 2,654 | $81K | |
| 2022 | 3,101 | $95K | |
| 2023 | 2,542 | $79K | |
| 2024incomplete | 240 | $8K |
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 | 88% | 14,896 | 13,141 | $501K |
| 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 | 4.5% | 509 | 454 | $26K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.7% | 422 | 376 | $10K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 300 | 281 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 657 | 360 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 57 | 53 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 234 | 220 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 67 | 65 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 147 | 130 | $2K |
| 0071A | <1% | 39 | 36 | $1K | |
| 99050 | <1% | 94 | 87 | $940.40 | |
| 90686 | <1% | 445 | 416 | $904.38 |
6 more codes
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 officialLEWIS, BARNETT (PRESIDENT)