Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pediatrix Medical Group Ambulatory Services of TN, PLLC

Pediatrix Medical Group Ambulatory Services of TN, PLLC was paid $742K by Medicaid between Jan 2024 and Dec 2024, across 36 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 15% of everything it billed.

33Billing provider infoPEDIATRIX MEDICAL GROUP AMBULATORY SERVICES OF TN, PLLC
SUNRISE, FL 33323
33aNPI1063110880assigned 02/21/2023
28Total paid$742K
24GClaims15,414
24DCodes billed36
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers

Next to other Pediatric Infectious Diseases Physician providers in Florida

Rank by total paid#5 of 12
Median peer was paid$473K
This provider vs. median1.6×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete15,414$742K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 15% 2,492 2,038 $114K
76819 Fetal biophysical profile; without non-stress testing 15% 2,319 1,174 $108K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 11% 848 661 $80K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.8% 1,733 1,296 $65K
59410 5.3% 62 51 $40K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 4.8% 861 640 $36K
59426 4.7% 69 65 $35K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4.3% 253 195 $32K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 3.6% 311 259 $27K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3.4% 428 360 $25K
76820 2.6% 485 215 $19K
76801 2.5% 327 281 $18K
24 more codes
76830 Ultrasound, transvaginal 2.4% 366 $18K
99214 Doctor's office visit, returning patient (more involved) 2.3% 326 $17K
93325 2.2% 530 $16K
93320 1.2% 311 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.1% 166 $8K
99204 Doctor's office visit, new patient (more involved) 1.1% 136 $8K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1.1% 263 $8K
99203 Doctor's office visit, new patient (routine) 1.0% 156 $8K
76818 <1% 204 $7K
59425 <1% 20 $7K
93304 <1% 74 $6K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 198 $5K
59025 Fetal non-stress test <1% 253 $5K
99244 Office or other outpatient consultation, moderate to high complexity <1% 33 $4K
93000 <1% 299 $4K
93321 <1% 136 $3K
99459 <1% 196 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 468 $3K
81025 <1% 306 $1K
99243 <1% 15 $1K
87210 <1% 326 $854.37
36415 Collection of venous blood by venipuncture <1% 195 $311.50
82950 <1% 198 $280.91
0503F <1% 51 $0.15

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 officialASHFORD, MICHAEL (ASSISTANT SECRETARY)
Same official

Other billing entities under ASHFORD, MICHAEL

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.