Spring Creek Pediatrics, INC.
Spring Creek Pediatrics, INC. was paid $1.51M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoSPRING CREEK PEDIATRICS, INC.
CHATTANOOGA, TN 37412
CHATTANOOGA, TN 37412
33aNPI1013026020assigned 08/30/2006
33bProvider typeSpecialist
28Total paid$1.51M
24GClaims48,107
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#22 of 252
Median peer was paid$57K
This provider vs. median27×
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 | 3,513 | $92K | |
| 2019 | 5,316 | $142K | |
| 2020 | 5,666 | $131K | |
| 2021 | 7,803 | $294K | |
| 2022 | 9,380 | $334K | |
| 2023 | 8,452 | $294K | |
| 2024incomplete | 7,977 | $224K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 33% | 8,852 | 7,210 | $502K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 6,719 | 5,758 | $243K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 16% | 1,767 | 1,650 | $235K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 4,304 | 3,711 | $160K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.1% | 1,389 | 1,255 | $92K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.6% | 1,487 | 1,187 | $84K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.1% | 3,514 | 3,061 | $47K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.6% | 330 | 203 | $25K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 364 | 340 | $24K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 361 | 298 | $17K |
| 36416 | <1% | 4,280 | 3,745 | $13K | |
| 85018 | <1% | 3,317 | 2,926 | $10K |
30 more codes
| 99173 | <1% | 1,018 | $9K | |
| 87428 | <1% | 142 | $6K | |
| 81003 | <1% | 2,490 | $6K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 86 | $4K |
| 99174 | <1% | 397 | $4K | |
| 87631 | <1% | 71 | $4K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 86 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 246 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 255 | $3K |
| 87807 | <1% | 205 | $3K | |
| 90670 | <1% | 759 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 262 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 25 | $2K |
| 99050 | <1% | 84 | $2K | |
| 90686 | <1% | 739 | $1K | |
| 90677 | <1% | 41 | $965.67 | |
| 94760 | <1% | 1,257 | $579.23 | |
| 90461 | <1% | 776 | $563.50 | |
| 96127 | <1% | 111 | $479.70 | |
| 90697 | <1% | 38 | $342.15 | |
| 90698 | <1% | 384 | $330.01 | |
| 90633 | <1% | 65 | $225.20 | |
| 90680 | <1% | 243 | $200.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 53 | $171.92 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 605 | $0.00 |
| 99072 | 0% | 904 | $0.00 | |
| 0002A | 0% | 15 | $0.00 | |
| 90744 | 0% | 32 | $0.00 | |
| 91307 | 0% | 21 | $0.00 | |
| H0033 | Oral medication administration, direct observation | 0% | 13 | $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 officialSTEGALL, STEPHANIE (OWNER)