Tennessee Valley Pediatric Associatesinc.

Tennessee Valley Pediatric Associatesinc. was paid $20.79M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.

33Billing provider infoTENNESSEE VALLEY PEDIATRIC ASSOCIATESINC.
TUSCUMBIA, AL 35674

33aNPI1043323439assigned 08/17/2006

33bProvider typePediatrics Physician

28Total paid$20.79M

24GClaims510,491

24DCodes billed84

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Alabama

Rank by total paid#8 of 199

Median peer was paid$702K

This provider vs. median30×

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	62,734	$2.31M
2019	70,339	$2.57M
2020	57,330	$2.21M
2021	82,532	$3.45M
2022	84,301	$3.46M
2023	84,254	$3.31M
2024incomplete	69,001	$3.49M

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	38%	95,477	88,737	$7.93M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	74,159	68,423	$4.01M
87633	Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets	4.1%	4,184	4,023	$857K
87428		3.8%	16,902	14,976	$782K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	3.6%	12,985	12,635	$751K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	3.2%	11,758	11,488	$674K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.5%	25,186	23,404	$519K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.5%	40,471	37,699	$516K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	2.4%	18,933	17,829	$507K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.4%	8,530	8,329	$491K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.7%	3,054	2,877	$354K
90670		1.3%	9,962	9,807	$279K

72 more codes

99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	3,363	$202K
90648		<1%	10,670	$198K
99223	Prolong inpt eval add15 m	<1%	1,097	$188K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	2,959	$184K
90723		<1%	7,887	$167K
99238	Hospital discharge day management, 30 minutes or less	<1%	2,315	$145K
87807		<1%	12,054	$128K
90680		<1%	6,035	$125K
99232	Hospital visit by a doctor, follow-up day	<1%	1,773	$111K
90633		<1%	5,375	$105K
90832	Psychotherapy session, about 30 minutes	<1%	3,619	$98K
90837	Psychotherapy session, about an hour	<1%	1,844	$98K
90461		<1%	1,882	$96K
99173		<1%	22,746	$89K
92551		<1%	19,393	$87K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	3,267	$85K
90686		<1%	4,232	$82K
90651		<1%	2,970	$77K
90734		<1%	2,751	$70K
90716		<1%	2,491	$65K
90707		<1%	2,455	$54K
71046	Radiologic examination, chest; 2 views	<1%	2,749	$54K
90671		<1%	1,646	$50K
90696		<1%	2,108	$42K
90710		<1%	2,130	$41K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,410	$41K
90834	Psychotherapy session, about 45 minutes	<1%	1,278	$40K
90700		<1%	2,058	$40K
99460		<1%	468	$40K
96127		<1%	13,643	$38K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	3,571	$31K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	725	$30K
90715		<1%	1,518	$30K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	2,095	$20K
81002		<1%	6,755	$19K
99051		<1%	1,232	$18K
36415	Collection of venous blood by venipuncture	<1%	7,291	$14K
90647		<1%	702	$13K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	1,520	$13K
90621		<1%	673	$13K
90791	Psychiatric diagnostic evaluation	<1%	254	$13K
36416		<1%	3,359	$8K
85018		<1%	2,576	$7K
90685		<1%	362	$7K
90681		<1%	308	$6K
99177		<1%	464	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	168	$5K
90620		<1%	233	$4K
74018		<1%	206	$4K
90688		<1%	193	$4K
69210		<1%	122	$3K
96161		<1%	1,012	$3K
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	1,550	$3K
90687		<1%	143	$2K
99203	Doctor's office visit, new patient (routine)	<1%	27	$2K
99000		<1%	1,873	$2K
90656		<1%	99	$2K
86328		<1%	43	$1K
99204	Doctor's office visit, new patient (more involved)	<1%	13	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	65	$924.80
94760		<1%	286	$896.31
51701		<1%	14	$798.00
17110		<1%	12	$756.00
99462		<1%	17	$567.00
94010		<1%	24	$441.60
82947		<1%	108	$416.79
81025		<1%	92	$257.60
90785		<1%	176	$164.45
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	86	$79.68
71020		0%	29	$0.00
G0444	Annual depression screening, 5 to 15 minutes	0%	13	$0.00
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	0%	213	$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 officialSOMERS, KARMEN (ADMINISTRATOR)