Internal Medicine and Pediatric Associates, PSC

Internal Medicine and Pediatric Associates, PSC was paid $10K by Medicaid between Jan 2018 and Oct 2020, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.

33Billing provider infoINTERNAL MEDICINE AND PEDIATRIC ASSOCIATES, PSC
CRESTWOOD, KY 40014

33aNPI1972539450assigned 06/25/2006

33bProvider typeInternal Medicine Physician

28Total paid$10K

24GClaims230

24DCodes billed2

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Internal Medicine Physician providers in Kentucky

Rank by total paid#161 of 231

Median peer was paid$77K

This provider vs. median0.1×

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	58	$2K
2019	98	$4K
2020	74	$3K

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	65%	170	145	$6K
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%	60	53	$3K

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 officialKAREM, ANTHONY (PRESIDENT)