Clinic
Dayton Pediatrics P C
Dayton Pediatrics P C was paid $3.09M by Medicaid between Jan 2018 and Apr 2023, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoDAYTON PEDIATRICS P C
DAYTON, TN 37321
DAYTON, TN 37321
33aNPI1205041555assigned 05/11/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$3.09M
24GClaims160,867
24DCodes billed57
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Primary Care Clinic/Center providers in Tennessee
Rank by total paid#8 of 139
Median peer was paid$101K
This provider vs. median31×
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 | 29,952 | $577K | |
| 2019 | 33,419 | $630K | |
| 2020 | 25,417 | $472K | |
| 2021 | 33,417 | $680K | |
| 2022 | 32,570 | $613K | |
| 2023 | 6,092 | $122K |
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 | 28% | 21,635 | 18,603 | $875K |
| 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 | 14% | 7,614 | 6,371 | $420K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 17,674 | 8,602 | $353K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 8.7% | 14,660 | 11,350 | $269K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.1% | 2,882 | 2,614 | $190K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.7% | 2,709 | 2,363 | $178K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.5% | 2,896 | 2,492 | $169K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.5% | 5,181 | 4,455 | $140K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 1,725 | 1,488 | $126K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.9% | 10,034 | 8,776 | $59K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 6,809 | 6,025 | $53K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 3,955 | 1,646 | $36K |
45 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,294 | $31K |
| 96127 | <1% | 7,359 | $30K | |
| 99173 | <1% | 6,658 | $28K | |
| 92587 | <1% | 2,228 | $25K | |
| 92558 | <1% | 4,059 | $16K | |
| 80061 | Lipid panel | <1% | 1,497 | $16K |
| 99381 | <1% | 184 | $12K | |
| 36416 | <1% | 9,793 | $11K | |
| 93000 | <1% | 607 | $11K | |
| 81003 | <1% | 6,433 | $10K | |
| 87070 | <1% | 3,123 | $8K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 450 | $6K |
| 83655 | <1% | 448 | $5K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 103 | $3K |
| 90688 | <1% | 900 | $2K | |
| 92567 | <1% | 123 | $2K | |
| 90651 | <1% | 554 | $1K | |
| 90686 | <1% | 2,057 | $1K | |
| 90670 | <1% | 2,083 | $1K | |
| 90697 | <1% | 282 | $1K | |
| 81002 | <1% | 772 | $1K | |
| 90734 | <1% | 387 | $1K | |
| 90461 | <1% | 4,123 | $1K | |
| 86756 | <1% | 260 | $862.45 | |
| 90658 | <1% | 186 | $729.09 | |
| 95117 | <1% | 70 | $709.44 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 272 | $480.07 |
| 90698 | <1% | 1,544 | $422.00 | |
| 90680 | <1% | 571 | $345.58 | |
| 90619 | <1% | 95 | $280.00 | |
| J2010 | Injection, lincomycin hcl, up to 300 mg | <1% | 58 | $266.09 |
| 90715 | <1% | 125 | $261.54 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 25 | $125.28 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 95 | $107.47 |
| 90633 | <1% | 749 | $94.84 | |
| 86308 | <1% | 15 | $57.58 | |
| 90744 | <1% | 484 | $50.44 | |
| 94760 | <1% | 72 | $22.44 | |
| 90710 | <1% | 569 | $10.00 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 18 | $0.27 |
| 90716 | 0% | 113 | $0.00 | |
| 90621 | 0% | 89 | $0.00 | |
| 90707 | 0% | 62 | $0.00 | |
| 90681 | 0% | 88 | $0.00 | |
| 90685 | 0% | 16 | $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 officialNELSON, JAMES (PRESIDENT)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.