NP / PA
Martin Children's Clinic, LLC
Martin Children's Clinic, LLC was paid $3.89M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoMARTIN CHILDREN'S CLINIC, LLC
MARTIN, TN 38237
MARTIN, TN 38237
33aNPI1194049064assigned 03/22/2010
33bProvider typePediatric Nurse Practitioner
28Total paid$3.89M
24GClaims146,149
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Tennessee
Rank by total paid#4 of 70
Median peer was paid$60K
This provider vs. median64×
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 | 23,966 | $585K | |
| 2019 | 22,498 | $581K | |
| 2020 | 19,009 | $499K | |
| 2021 | 21,159 | $580K | |
| 2022 | 20,679 | $574K | |
| 2023 | 19,896 | $550K | |
| 2024incomplete | 18,942 | $520K |
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 | 42% | 41,553 | 34,455 | $1.63M |
| 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 | 8.4% | 5,499 | 4,583 | $327K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.3% | 8,897 | 7,802 | $324K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 4,313 | 3,794 | $279K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.4% | 9,378 | 8,076 | $248K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.5% | 2,760 | 2,477 | $177K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.5% | 8,266 | 6,915 | $173K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 2,893 | 2,468 | $172K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.1% | 12,254 | 10,843 | $119K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 1,110 | 965 | $76K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.9% | 1,457 | 1,230 | $73K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.4% | 2,027 | 1,855 | $55K |
47 more codes
| 96160 | <1% | 2,492 | $36K | |
| 96127 | <1% | 6,489 | $32K | |
| 99177 | <1% | 4,425 | $28K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,836 | $27K |
| 96161 | <1% | 2,179 | $26K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,514 | $22K |
| 92551 | <1% | 2,805 | $19K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 614 | $10K |
| 94760 | <1% | 4,253 | $7K | |
| 36416 | <1% | 3,159 | $5K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 73 | $4K |
| 99381 | <1% | 29 | $2K | |
| 83655 | <1% | 191 | $2K | |
| 92015 | Determination of refractive state | <1% | 99 | $2K |
| 90651 | <1% | 277 | $2K | |
| 81003 | <1% | 902 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 36 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 27 | $1K |
| 90461 | <1% | 3,740 | $1K | |
| 90734 | <1% | 157 | $978.53 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 64 | $911.88 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 14 | $717.30 |
| 90686 | <1% | 1,475 | $679.55 | |
| 90670 | <1% | 1,979 | $471.58 | |
| 90619 | <1% | 62 | $350.49 | |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 75 | $192.60 |
| 94664 | <1% | 14 | $171.19 | |
| 90715 | <1% | 125 | $147.09 | |
| 99173 | <1% | 21 | $134.58 | |
| 90688 | <1% | 276 | $132.01 | |
| 90633 | <1% | 589 | $131.01 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 74 | $129.65 |
| 90698 | <1% | 1,030 | $127.59 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 157 | $122.21 |
| 90696 | <1% | 101 | $67.82 | |
| 90672 | <1% | 128 | $23.70 | |
| 90658 | <1% | 66 | $21.86 | |
| 90680 | <1% | 949 | $0.08 | |
| 90744 | <1% | 294 | $0.04 | |
| 90716 | 0% | 112 | $0.00 | |
| 90697 | 0% | 230 | $0.00 | |
| 90723 | 0% | 65 | $0.00 | |
| 90710 | 0% | 76 | $0.00 | |
| 90707 | 0% | 126 | $0.00 | |
| 90671 | 0% | 265 | $0.00 | |
| 90648 | 0% | 31 | $0.00 | |
| 90685 | 0% | 47 | $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 officialPAGE, SHARON (OWNER)