Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHILDREN'S CLINIC

NPI: 1184746331 · OAK RIDGE, TN 37830 · Pediatric Adolescent Medicine Physician · NPI assigned 04/06/2007

$4.67M
Total Medicaid Paid
132,927
Total Claims
107,275
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJONES, SANDI (OFFICE MANAGER)
NPI Enumeration Date04/06/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 13,722 $587K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41,854 35,068 $1.87M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 10,796 4,698 $797K
90460 Immunization administration through 18 years of age via any route, first or only component 13,200 11,053 $538K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 11,467 9,853 $345K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,039 3,479 $288K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,108 2,703 $197K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,046 1,779 $144K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,929 2,530 $81K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,501 1,264 $68K
99177 9,821 8,415 $65K
92552 3,633 3,085 $62K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 754 654 $57K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,353 1,548 $40K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,347 3,121 $37K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 878 772 $29K
99381 173 143 $12K
83655 602 495 $7K
87807 695 609 $7K
87081 971 893 $3K
90651 340 301 $3K
36416 1,574 1,331 $2K
85018 917 750 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 29 25 $2K
81003 1,192 954 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 104 91 $2K
85014 361 338 $894.95
90670 2,776 2,358 $840.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 98 85 $835.56
90688 2,063 1,726 $602.33
81000 147 136 $478.13
90716 729 619 $455.00
90698 1,574 1,359 $440.00
90734 157 139 $420.00
90707 713 598 $379.52
90680 1,181 1,046 $310.31
90715 57 55 $163.20
90633 734 617 $131.01
90656 110 107 $79.20
90686 390 306 $78.62
99173 15 12 $73.84
90687 1,132 946 $55.00
82465 28 28 $30.68
90756 70 39 $30.58
90700 264 247 $0.00
90648 79 74 $0.00
90672 18 13 $0.00
90713 74 73 $0.00
90744 745 660 $0.00
90674 63 55 $0.00
90619 26 25 $0.00