Columbia Pediatric Clinic, INC.

Columbia Pediatric Clinic, INC. was paid $20.42M by Medicaid between Jan 2018 and Dec 2024, across 76 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoCOLUMBIA PEDIATRIC CLINIC, INC.
COLUMBIA, TN 38401

33aNPI1023146099assigned 03/01/2007

33bProvider typePrimary Care Clinic/Center

28Total paid$20.42M

24GClaims744,627

24DCodes billed76

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in Tennessee

Rank by total paid#3 of 139

Median peer was paid$101K

This provider vs. median203×

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	114,221	$2.87M
2019	117,214	$3.04M
2020	87,683	$2.35M
2021	101,984	$2.86M
2022	107,573	$3.20M
2023	120,954	$3.43M
2024incomplete	94,998	$2.68M

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	32%	128,236	107,435	$6.52M
90460	Immunization administration through 18 years of age via any route, first or only component	13%	61,742	50,766	$2.59M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	10%	23,593	20,864	$2.05M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	9.8%	26,028	22,415	$2.00M
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.8%	13,925	11,937	$1.18M
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	5.0%	13,212	11,403	$1.03M
96110	Developmental screening, with scoring and documentation, per standardized instrument	4.1%	52,255	40,975	$841K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.4%	7,695	6,140	$704K
87428		2.8%	10,153	8,983	$578K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.1%	12,606	10,519	$420K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	1.8%	7,290	6,084	$358K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.5%	24,312	21,018	$304K

64 more codes

87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	1.4%	8,818	$293K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.3%	21,414	$267K
92552		<1%	6,560	$124K
96161		<1%	12,654	$107K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	2,847	$105K
87807		<1%	7,685	$92K
96127		<1%	17,883	$87K
83655		<1%	5,612	$69K
99173		<1%	13,459	$58K
90677		<1%	2,502	$57K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	3,272	$52K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	5,789	$46K
92551		<1%	4,885	$42K
90670		<1%	14,600	$39K
3008F		<1%	5,562	$37K
85018		<1%	13,812	$34K
94760		<1%	63,524	$32K
80061	Lipid panel	<1%	2,316	$32K
90461		<1%	33,931	$31K
36416		<1%	35,412	$30K
99381		<1%	447	$29K
90651		<1%	2,738	$23K
90716		<1%	5,147	$17K
81002		<1%	6,226	$17K
90619		<1%	804	$17K
90698		<1%	11,605	$14K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	748	$11K
90680		<1%	9,567	$11K
90707		<1%	5,275	$10K
90734		<1%	1,254	$9K
90686		<1%	10,351	$8K
99238	Hospital discharge day management, 30 minutes or less	<1%	159	$8K
90633		<1%	6,278	$5K
90700		<1%	4,697	$3K
99460		<1%	69	$3K
90744		<1%	7,467	$3K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	29	$3K
96380		<1%	118	$2K
90715		<1%	857	$2K
81025		<1%	393	$2K
0071A		<1%	103	$2K
87400		<1%	270	$2K
0072A		<1%	38	$1K
90713		<1%	1,310	$1K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	14	$1K
90661		<1%	911	$350.38
82247		<1%	89	$344.59
94761		<1%	185	$183.06
90648		<1%	691	$160.46
82947		<1%	81	$158.49
A7015	Aerosol mask, used with dme nebulizer	<1%	415	$150.49
81000		<1%	36	$98.02
90688		<1%	569	$80.04
90656		<1%	69	$47.37
A4616	Tubing (oxygen), per foot	<1%	405	$13.05
S0119	Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code)	<1%	48	$6.86
91307		<1%	252	$0.12
90674		<1%	643	$0.02
90380		<1%	32	$0.01
90381		0%	67	$0.00
90685		0%	434	$0.00
90687		0%	92	$0.00
90655		0%	42	$0.00
90621		0%	18	$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 officialDUNCAN, TIFFANY (OFFICE ADMINISTRATOR)