NP / PA
University Pediatrics Foundation, INC.
University Pediatrics Foundation, INC. was paid $4.15M by Medicaid between Jan 2018 and Feb 2020, across 53 billing codes. Its largest line is 99283, emergency room visit (moderate) — 38% of everything it billed.
33Billing provider infoUNIVERSITY PEDIATRICS FOUNDATION, INC.
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
33aNPI1972613842assigned 08/30/2006
33bProvider typeNurse Practitioner
28Total paid$4.15M
24GClaims102,350
24DCodes billed53
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#16 of 260
Median peer was paid$89K
This provider vs. median47×
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 | 55,967 | $2.28M | |
| 2019 | 36,295 | $1.44M | |
| 2020 | 10,088 | $430K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 38% | 34,666 | 33,908 | $1.58M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 20% | 10,825 | 10,526 | $844K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 16,232 | 15,554 | $547K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 4.5% | 1,578 | 1,554 | $186K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.0% | 1,669 | 1,638 | $125K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.0% | 9,767 | 9,542 | $125K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 1,420 | 1,390 | $109K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 1,331 | 1,286 | $92K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.7% | 2,679 | 2,559 | $71K |
| 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 | 1.5% | 1,352 | 1,299 | $64K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.1% | 3,240 | 3,164 | $44K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.1% | 926 | 878 | $44K |
41 more codes
| 99460 | 1.1% | 840 | $44K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 420 | $34K |
| 99173 | <1% | 1,086 | $32K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 481 | $29K |
| 99336 | <1% | 204 | $18K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 153 | $17K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 380 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 897 | $15K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 181 | $13K |
| 99223 | Prolong inpt eval add15 m | <1% | 86 | $11K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 38 | $11K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 66 | $8K |
| 99462 | <1% | 248 | $8K | |
| 92551 | <1% | 630 | $7K | |
| 90686 | <1% | 1,833 | $7K | |
| 90698 | <1% | 929 | $7K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 429 | $6K |
| 90670 | <1% | 845 | $5K | |
| 90680 | <1% | 438 | $4K | |
| 90633 | <1% | 290 | $3K | |
| 90474 | <1% | 425 | $2K | |
| 80061 | Lipid panel | <1% | 142 | $2K |
| 90685 | <1% | 261 | $2K | |
| 96161 | <1% | 683 | $2K | |
| 90744 | <1% | 206 | $2K | |
| 99243 | <1% | 25 | $2K | |
| 90651 | <1% | 60 | $2K | |
| 90688 | <1% | 333 | $2K | |
| 99217 | <1% | 29 | $1K | |
| 83655 | <1% | 79 | $1K | |
| 81025 | <1% | 192 | $944.17 | |
| 99381 | <1% | 13 | $869.82 | |
| 94010 | <1% | 24 | $791.54 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 36 | $322.72 |
| 99401 | <1% | 13 | $229.50 | |
| 99177 | <1% | 70 | $229.19 | |
| 81003 | <1% | 89 | $211.17 | |
| 87081 | <1% | 15 | $150.06 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 12 | $116.07 |
| 2014F | 0% | 550 | $0.00 | |
| 3008F | 0% | 2,934 | $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 officialRABALAIS, GERARD (CHAIRMAN DEPARTMENT OF PEDIATRICS)
| Provider | Location | Paid |
|---|---|---|
| University Pediatric Endocrinology, LLC | Louisville, KY | $316K |
| University Pediatric Pulmonary, LLC | Louisville, KY | $302K |
| 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.