Physician
Elite Pediatric and Adolescent Medicine
Elite Pediatric and Adolescent Medicine was paid $2.60M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoELITE PEDIATRIC AND ADOLESCENT MEDICINE
SOMERVILLE, TN 38068
SOMERVILLE, TN 38068
33aNPI1134435647assigned 08/20/2010
33bProvider typePediatrics Physician
28Total paid$2.60M
24GClaims104,569
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#47 of 333
Median peer was paid$139K
This provider vs. median19×
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 | 18,927 | $393K | |
| 2019 | 21,144 | $490K | |
| 2020 | 14,396 | $337K | |
| 2021 | 11,952 | $313K | |
| 2022 | 12,755 | $309K | |
| 2023 | 13,483 | $391K | |
| 2024incomplete | 11,912 | $364K |
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 | 25% | 15,817 | 12,624 | $649K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 6,903 | 5,662 | $325K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 11% | 5,433 | 4,571 | $284K |
| 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 | 7.1% | 2,954 | 2,577 | $184K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.7% | 2,538 | 2,182 | $173K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 2,517 | 2,062 | $150K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 1,776 | 1,530 | $127K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 4.5% | 2,935 | 2,542 | $118K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 1,095 | 877 | $84K |
| 96160 | 2.4% | 1,601 | 1,305 | $62K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.4% | 6,624 | 5,521 | $62K |
| 96161 | 2.4% | 2,855 | 2,271 | $62K |
47 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.1% | 1,863 | $55K |
| 99173 | 1.3% | 4,145 | $33K | |
| 92551 | 1.1% | 4,168 | $30K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 1,831 | $26K |
| 96127 | <1% | 5,385 | $24K | |
| 97802 | <1% | 3,136 | $24K | |
| 99401 | <1% | 550 | $18K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 654 | $18K |
| 90677 | <1% | 252 | $15K | |
| 81003 | <1% | 5,011 | $11K | |
| 36416 | <1% | 4,164 | $11K | |
| 99381 | <1% | 149 | $10K | |
| 90651 | <1% | 488 | $8K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,434 | $6K |
| 3008F | <1% | 3,831 | $5K | |
| 87807 | <1% | 350 | $5K | |
| 81025 | <1% | 518 | $3K | |
| 90670 | <1% | 1,929 | $2K | |
| 90734 | <1% | 274 | $2K | |
| 90656 | <1% | 120 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 85 | $1K |
| 90680 | <1% | 1,349 | $1K | |
| 83655 | <1% | 74 | $1K | |
| 90716 | <1% | 624 | $1K | |
| 90707 | <1% | 605 | $711.14 | |
| 0071A | <1% | 17 | $640.00 | |
| 69210 | <1% | 15 | $600.69 | |
| 96380 | <1% | 22 | $563.20 | |
| 0072A | <1% | 16 | $560.00 | |
| 90633 | <1% | 649 | $527.40 | |
| 90620 | <1% | 49 | $454.82 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 28 | $387.06 |
| 90686 | <1% | 1,764 | $368.68 | |
| 90715 | <1% | 57 | $217.60 | |
| 90688 | <1% | 15 | $156.80 | |
| 90661 | <1% | 24 | $105.00 | |
| 90648 | <1% | 2,025 | $82.32 | |
| 90461 | <1% | 355 | $79.35 | |
| 94760 | <1% | 61 | $77.90 | |
| 90700 | <1% | 349 | $63.12 | |
| 90685 | <1% | 458 | $23.53 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 66 | $2.92 |
| 90713 | 0% | 33 | $0.00 | |
| 91308 | 0% | 18 | $0.00 | |
| 99072 | 0% | 13 | $0.00 | |
| 90723 | 0% | 1,468 | $0.00 | |
| 91305 | 0% | 30 | $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 officialHAMILTON, DERRICK (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Juniper Health INC | Beattyville, KY | $6.02M |
| Juniper Health INC | Jackson, KY | $1.67M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.