Physician
Cedar Creek Pediatric & Adolescent Medicine, PC
Cedar Creek Pediatric & Adolescent Medicine, PC was paid $2.93M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoCEDAR CREEK PEDIATRIC & ADOLESCENT MEDICINE, PC
MARYVILLE, TN 37803
MARYVILLE, TN 37803
33aNPI1003039223assigned 04/10/2007
33bProvider typePediatrics Physician
28Total paid$2.93M
24GClaims124,527
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#40 of 333
Median peer was paid$139K
This provider vs. median21×
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 | 10,575 | $288K | |
| 2019 | 14,288 | $338K | |
| 2020 | 16,505 | $366K | |
| 2021 | 18,284 | $430K | |
| 2022 | 22,913 | $494K | |
| 2023 | 23,890 | $543K | |
| 2024incomplete | 18,072 | $472K |
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 | 29% | 18,185 | 15,280 | $864K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 8,716 | 7,115 | $349K |
| 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 | 11% | 4,304 | 3,728 | $310K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.1% | 3,116 | 2,830 | $238K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.8% | 3,066 | 2,687 | $230K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.2% | 7,429 | 6,383 | $211K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 2,526 | 2,122 | $169K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.3% | 1,627 | 1,269 | $126K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.8% | 7,049 | 6,230 | $83K |
| 92552 | 2.7% | 4,397 | 3,611 | $79K | |
| 96127 | 1.7% | 9,192 | 5,493 | $49K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.5% | 5,427 | 4,445 | $44K |
47 more codes
| 90677 | 1.2% | 414 | $34K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,916 | $29K |
| 96161 | <1% | 2,389 | $18K | |
| 87400 | <1% | 2,163 | $17K | |
| 99173 | <1% | 3,409 | $14K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 709 | $10K |
| 96160 | <1% | 2,261 | $9K | |
| 90619 | <1% | 347 | $9K | |
| 3008F | <1% | 7,490 | $7K | |
| 36416 | <1% | 5,067 | $7K | |
| 99381 | <1% | 115 | $7K | |
| 0071A | <1% | 70 | $2K | |
| 0002A | <1% | 64 | $2K | |
| 90688 | <1% | 2,511 | $2K | |
| 90651 | <1% | 792 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 20 | $2K |
| 0001A | <1% | 49 | $2K | |
| 0072A | <1% | 33 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 20 | $966.72 |
| 81002 | <1% | 335 | $792.69 | |
| 90734 | <1% | 295 | $637.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 20 | $352.63 |
| 90716 | <1% | 950 | $315.08 | |
| 90670 | <1% | 1,793 | $249.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 74 | $202.35 |
| 36415 | Collection of venous blood by venipuncture | <1% | 97 | $200.03 |
| 90707 | <1% | 943 | $190.01 | |
| 90697 | <1% | 858 | $162.38 | |
| 90715 | <1% | 169 | $53.12 | |
| 90633 | <1% | 980 | $42.42 | |
| 90700 | <1% | 899 | $31.90 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 459 | $20.39 |
| 90687 | <1% | 659 | $11.29 | |
| 90680 | 0% | 1,339 | $0.00 | |
| 90698 | 0% | 740 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 1,114 | $0.00 |
| 90744 | 0% | 398 | $0.00 | |
| 91307 | 0% | 137 | $0.00 | |
| 90686 | 0% | 174 | $0.00 | |
| 90674 | 0% | 57 | $0.00 | |
| 90656 | 0% | 107 | $0.00 | |
| 91300 | 0% | 181 | $0.00 | |
| 99080 | 0% | 6,640 | $0.00 | |
| 90713 | 0% | 153 | $0.00 | |
| 91308 | 0% | 42 | $0.00 | |
| 90461 | 0% | 16 | $0.00 | |
| 90648 | 0% | 25 | $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 officialLINGINFELTER, SHANNON (PRACTICE ADMINISTRATOR)