Physician
Trinity Pediatrics, P.C.
Trinity Pediatrics, P.C. was paid $5.77M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoTRINITY PEDIATRICS, P.C.
GALLATIN, TN 37066
GALLATIN, TN 37066
33aNPI1033356654assigned 01/20/2009
33bProvider typePediatrics Physician
28Total paid$5.77M
24GClaims228,345
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#19 of 333
Median peer was paid$139K
This provider vs. median41×
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 | 32,732 | $847K | |
| 2019 | 43,767 | $1.03M | |
| 2020 | 33,072 | $734K | |
| 2021 | 28,435 | $742K | |
| 2022 | 33,617 | $877K | |
| 2023 | 30,707 | $847K | |
| 2024incomplete | 26,015 | $690K |
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 | 32% | 26,790 | 24,224 | $1.84M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 18,201 | 16,542 | $813K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 15,944 | 13,874 | $630K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.5% | 6,080 | 5,424 | $434K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.4% | 5,952 | 5,148 | $427K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.8% | 4,340 | 3,747 | $276K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.6% | 3,442 | 3,006 | $267K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.0% | 11,116 | 9,916 | $229K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.7% | 14,285 | 7,702 | $154K |
| 96160 | 2.3% | 8,877 | 7,898 | $131K | |
| 92587 | 1.7% | 5,211 | 4,283 | $99K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 3,447 | 3,019 | $94K |
57 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 8,673 | $75K |
| 96127 | <1% | 6,947 | $44K | |
| 69210 | <1% | 1,038 | $40K | |
| 96161 | <1% | 2,867 | $30K | |
| 99173 | <1% | 8,153 | $29K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 12,425 | $21K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,130 | $17K |
| 3008F | <1% | 12,316 | $14K | |
| 81003 | <1% | 9,225 | $14K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 857 | $14K |
| 17110 | <1% | 165 | $11K | |
| 90670 | <1% | 3,719 | $10K | |
| 90651 | <1% | 2,178 | $9K | |
| 99050 | <1% | 570 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 49 | $4K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 275 | $4K |
| 90461 | <1% | 7,682 | $3K | |
| 90716 | <1% | 1,592 | $3K | |
| 81025 | <1% | 626 | $3K | |
| 90686 | <1% | 4,739 | $2K | |
| 90680 | <1% | 2,560 | $2K | |
| 90698 | <1% | 1,848 | $2K | |
| 99381 | <1% | 27 | $2K | |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 423 | $2K |
| 90734 | <1% | 692 | $2K | |
| 90707 | <1% | 1,559 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $1K |
| 99383 | <1% | 13 | $1K | |
| 90619 | <1% | 582 | $791.94 | |
| 94664 | <1% | 56 | $705.21 | |
| 90633 | <1% | 2,059 | $702.99 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 42 | $662.88 |
| 92567 | <1% | 51 | $617.46 | |
| 99174 | <1% | 63 | $394.66 | |
| 99401 | <1% | 22 | $342.84 | |
| 87807 | <1% | 29 | $329.05 | |
| 90715 | <1% | 452 | $309.84 | |
| 90677 | <1% | 392 | $289.76 | |
| 96380 | <1% | 18 | $288.93 | |
| 90744 | <1% | 1,081 | $242.87 | |
| 90700 | <1% | 477 | $241.02 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 121 | $207.38 |
| 90648 | <1% | 775 | $98.13 | |
| 90685 | <1% | 314 | $24.78 | |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | <1% | 27 | $15.11 |
| 90656 | <1% | 20 | $12.80 | |
| 90697 | <1% | 480 | $1.59 | |
| 90658 | <1% | 562 | $0.54 | |
| 90381 | <1% | 16 | $0.04 | |
| 90688 | <1% | 2,831 | $0.04 | |
| 90696 | <1% | 471 | $0.01 | |
| 90621 | <1% | 52 | $0.01 | |
| 90710 | <1% | 244 | $0.01 | |
| 90661 | <1% | 126 | $0.01 | |
| 90674 | 0% | 613 | $0.00 | |
| 90723 | 0% | 140 | $0.00 | |
| 90687 | 0% | 182 | $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 officialESPELETA, FERDINAND (PHYSICIAN)