Physician
Children's Clinic
Children's Clinic was paid $4.67M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoCHILDREN'S CLINIC
OAK RIDGE, TN 37830
OAK RIDGE, TN 37830
33aNPI1184746331assigned 04/06/2007
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$4.67M
24GClaims132,927
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Tennessee
Rank by total paid#1 of 16
Median peer was paid$236K
This provider vs. median20×
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 | 21,350 | $563K | |
| 2019 | 23,063 | $715K | |
| 2020 | 21,557 | $688K | |
| 2021 | 18,961 | $689K | |
| 2022 | 18,049 | $751K | |
| 2023 | 16,225 | $675K | |
| 2024incomplete | 13,722 | $587K |
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 | 40% | 41,854 | 35,068 | $1.87M |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 17% | 10,796 | 4,698 | $797K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 13,200 | 11,053 | $538K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 7.4% | 11,467 | 9,853 | $345K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.2% | 4,039 | 3,479 | $288K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.2% | 3,108 | 2,703 | $197K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.1% | 2,046 | 1,779 | $144K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 2,929 | 2,530 | $81K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 1,501 | 1,264 | $68K |
| 99177 | 1.4% | 9,821 | 8,415 | $65K | |
| 92552 | 1.3% | 3,633 | 3,085 | $62K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 754 | 654 | $57K |
38 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,353 | $40K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,347 | $37K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 878 | $29K |
| 99381 | <1% | 173 | $12K | |
| 83655 | <1% | 602 | $7K | |
| 87807 | <1% | 695 | $7K | |
| 87081 | <1% | 971 | $3K | |
| 90651 | <1% | 340 | $3K | |
| 36416 | <1% | 1,574 | $2K | |
| 85018 | <1% | 917 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 29 | $2K |
| 81003 | <1% | 1,192 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 104 | $2K |
| 85014 | <1% | 361 | $894.95 | |
| 90670 | <1% | 2,776 | $840.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 98 | $835.56 |
| 90688 | <1% | 2,063 | $602.33 | |
| 81000 | <1% | 147 | $478.13 | |
| 90716 | <1% | 729 | $455.00 | |
| 90698 | <1% | 1,574 | $440.00 | |
| 90734 | <1% | 157 | $420.00 | |
| 90707 | <1% | 713 | $379.52 | |
| 90680 | <1% | 1,181 | $310.31 | |
| 90715 | <1% | 57 | $163.20 | |
| 90633 | <1% | 734 | $131.01 | |
| 90656 | <1% | 110 | $79.20 | |
| 90686 | <1% | 390 | $78.62 | |
| 99173 | <1% | 15 | $73.84 | |
| 90687 | <1% | 1,132 | $55.00 | |
| 82465 | <1% | 28 | $30.68 | |
| 90756 | <1% | 70 | $30.58 | |
| 90700 | 0% | 264 | $0.00 | |
| 90648 | 0% | 79 | $0.00 | |
| 90672 | 0% | 18 | $0.00 | |
| 90713 | 0% | 74 | $0.00 | |
| 90744 | 0% | 745 | $0.00 | |
| 90674 | 0% | 63 | $0.00 | |
| 90619 | 0% | 26 | $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 officialJONES, SANDI (OFFICE MANAGER)