Physician
Premier Pediatrics, LLC
Premier Pediatrics, LLC was paid $1.15M by Medicaid between Jan 2018 and Aug 2022, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoPREMIER PEDIATRICS, LLC
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
33aNPI1235149014assigned 08/08/2006
33bProvider typePediatrics Physician
28Total paid$1.15M
24GClaims54,052
24DCodes billed44
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#68 of 333
Median peer was paid$139K
This provider vs. median8.3×
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 | 7,718 | $160K | |
| 2019 | 14,372 | $309K | |
| 2020 | 14,084 | $298K | |
| 2021 | 13,513 | $288K | |
| 2022 | 4,365 | $98K |
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 | 29% | 8,454 | 7,117 | $333K |
| 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 | 18% | 3,332 | 2,908 | $204K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 2,844 | 2,379 | $117K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 8.0% | 2,443 | 2,145 | $92K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.2% | 997 | 904 | $71K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.5% | 4,949 | 2,174 | $63K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.0% | 4,543 | 4,010 | $58K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 856 | 704 | $51K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 341 | 300 | $25K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.1% | 2,707 | 2,186 | $24K |
| 99177 | 1.5% | 1,979 | 1,661 | $17K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 220 | 165 | $17K |
32 more codes
| 96127 | 1.2% | 2,289 | $13K | |
| 80061 | Lipid panel | 1.1% | 907 | $13K |
| 92551 | <1% | 1,566 | $11K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 67 | $10K |
| 36416 | <1% | 2,425 | $5K | |
| 81003 | <1% | 1,967 | $4K | |
| 96160 | <1% | 474 | $3K | |
| 87807 | <1% | 272 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 289 | $3K |
| 94010 | <1% | 80 | $2K | |
| 94760 | <1% | 3,530 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 69 | $2K |
| 90670 | <1% | 521 | $2K | |
| 83655 | <1% | 100 | $1K | |
| 90734 | <1% | 62 | $867.69 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $836.67 |
| 90688 | <1% | 44 | $805.55 | |
| 90716 | <1% | 107 | $646.40 | |
| 90686 | <1% | 743 | $536.61 | |
| 90707 | <1% | 107 | $373.74 | |
| 90651 | <1% | 54 | $294.18 | |
| 99173 | <1% | 38 | $239.56 | |
| 90723 | <1% | 174 | $214.35 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 96 | $212.74 |
| 90647 | <1% | 205 | $139.20 | |
| 90633 | <1% | 81 | $131.01 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 31 | $61.17 |
| 90696 | <1% | 17 | $55.91 | |
| 94150 | <1% | 379 | $37.86 | |
| 99000 | <1% | 3,624 | $11.61 | |
| 99051 | 0% | 39 | $0.00 | |
| 90681 | 0% | 17 | $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 officialPUGH, ELAINE (PRESIDENT)