TLC Pediatrics PLLC
TLC Pediatrics PLLC was paid $1.49M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoTLC PEDIATRICS PLLC
PHOENIX, AZ 85048
PHOENIX, AZ 85048
33aNPI1154530111assigned 05/22/2007
33bProvider typeSpecialist
28Total paid$1.49M
24GClaims32,038
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Arizona
Rank by total paid#30 of 179
Median peer was paid$112K
This provider vs. median13×
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 | 5,267 | $218K | |
| 2019 | 4,020 | $150K | |
| 2020 | 1,502 | $62K | |
| 2021 | 4,700 | $229K | |
| 2022 | 6,462 | $304K | |
| 2023 | 5,456 | $281K | |
| 2024incomplete | 4,631 | $243K |
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 | 60% | 17,444 | 15,581 | $897K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 23% | 7,113 | 6,926 | $342K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 727 | 714 | $58K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 527 | 523 | $44K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.3% | 471 | 462 | $34K |
| 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 | 2.2% | 512 | 440 | $32K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.7% | 681 | 661 | $26K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,135 | 952 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 119 | 119 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 861 | 807 | $11K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 284 | 278 | $10K |
| 0071A | <1% | 53 | 51 | $4K |
17 more codes
| 96127 | <1% | 290 | $1K | |
| 0072A | <1% | 13 | $1K | |
| 0002A | <1% | 14 | $397.46 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | $260.60 |
| 94760 | <1% | 34 | $39.29 | |
| 90686 | <1% | 556 | $15.00 | |
| 99000 | <1% | 40 | $6.00 | |
| 90674 | 0% | 34 | $0.00 | |
| 90680 | 0% | 24 | $0.00 | |
| 90651 | 0% | 13 | $0.00 | |
| 90744 | 0% | 14 | $0.00 | |
| 90688 | 0% | 16 | $0.00 | |
| 90713 | 0% | 212 | $0.00 | |
| 90700 | 0% | 431 | $0.00 | |
| 90670 | 0% | 192 | $0.00 | |
| 90648 | 0% | 172 | $0.00 | |
| 90685 | 0% | 43 | $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 officialMATSUMOTO, DIANE (OWNER)