Physician
Memphis Children's Clinic, PLLC
Memphis Children's Clinic, PLLC was paid $27.80M by Medicaid between Jan 2018 and Dec 2024, across 83 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoMEMPHIS CHILDREN'S CLINIC, PLLC
MEMPHIS, TN 38116
MEMPHIS, TN 38116
33aNPI1255411294assigned 10/16/2006
33bProvider typePediatrics Physician
28Total paid$27.80M
24GClaims918,004
24DCodes billed83
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#2 of 333
Median peer was paid$139K
This provider vs. median199×
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 | 122,250 | $3.85M | |
| 2019 | 130,399 | $3.91M | |
| 2020 | 39,836 | $1.23M | |
| 2021 | 141,199 | $4.58M | |
| 2022 | 145,938 | $5.04M | |
| 2023 | 149,862 | $4.58M | |
| 2024incomplete | 188,520 | $4.60M |
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 | 26% | 143,149 | 123,361 | $7.21M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16% | 97,121 | 82,684 | $4.49M |
| 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% | 51,386 | 45,419 | $3.90M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 36,769 | 33,288 | $2.94M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.7% | 31,000 | 27,624 | $2.42M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.0% | 26,443 | 24,111 | $1.95M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.7% | 15,533 | 13,509 | $1.30M |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.6% | 15,192 | 14,198 | $715K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.3% | 14,572 | 10,301 | $633K |
| 92551 | 1.5% | 44,996 | 39,573 | $413K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 14,389 | 10,437 | $275K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 6,513 | 4,511 | $171K |
71 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 21,652 | $157K |
| 99173 | <1% | 65,821 | $127K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,146 | $123K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 21,118 | $108K |
| 96127 | <1% | 23,755 | $102K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,903 | $101K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 8,204 | $93K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 881 | $88K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 7,817 | $70K |
| 96160 | <1% | 19,419 | $62K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 6,867 | $61K |
| 3008F | <1% | 69,984 | $54K | |
| 83655 | <1% | 5,540 | $44K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 507 | $23K |
| 99051 | <1% | 8,477 | $23K | |
| 99174 | <1% | 4,638 | $22K | |
| 87081 | <1% | 3,695 | $17K | |
| 99460 | <1% | 257 | $16K | |
| 82465 | <1% | 5,471 | $15K | |
| 87634 | <1% | 387 | $15K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 934 | $8K |
| 99383 | <1% | 92 | $6K | |
| 99381 | <1% | 74 | $5K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 325 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 92 | $4K |
| 85013 | <1% | 1,523 | $4K | |
| 96112 | <1% | 29 | $3K | |
| 90670 | <1% | 19,620 | $2K | |
| Q3014 | Telehealth originating site facility fee | <1% | 268 | $2K |
| 90651 | <1% | 7,053 | $2K | |
| 96380 | <1% | 101 | $2K | |
| 90686 | <1% | 23,887 | $2K | |
| 99382 | <1% | 22 | $2K | |
| 90677 | <1% | 4,214 | $1K | |
| 82948 | <1% | 574 | $1K | |
| 90734 | <1% | 4,265 | $1K | |
| 90480 | <1% | 28 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 46 | $918.89 |
| 99050 | <1% | 47 | $761.93 | |
| 90723 | <1% | 15,284 | $650.83 | |
| 71045 | Radiologic examination, chest; single view | <1% | 36 | $583.68 |
| 90716 | <1% | 9,131 | $573.97 | |
| 94760 | <1% | 2,145 | $536.62 | |
| 99462 | <1% | 14 | $419.83 | |
| 90672 | <1% | 46 | $418.70 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 19 | $377.13 |
| 81002 | <1% | 184 | $345.39 | |
| 90707 | <1% | 8,936 | $312.50 | |
| 81003 | <1% | 181 | $302.88 | |
| 90473 | <1% | 15 | $258.06 | |
| 90656 | <1% | 753 | $234.39 | |
| 90633 | <1% | 10,108 | $163.52 | |
| 90647 | <1% | 15,108 | $136.82 | |
| 90696 | <1% | 1,482 | $61.83 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 138 | $59.80 |
| 90461 | <1% | 49 | $57.94 | |
| 81025 | <1% | 23 | $57.78 | |
| 90715 | <1% | 1,429 | $50.29 | |
| 36416 | <1% | 322 | $16.94 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 46 | $0.83 |
| 90681 | 0% | 3,374 | $0.00 | |
| 90685 | 0% | 1,125 | $0.00 | |
| 90700 | 0% | 379 | $0.00 | |
| 90658 | 0% | 22 | $0.00 | |
| 90688 | 0% | 1,440 | $0.00 | |
| 99000 | 0% | 294 | $0.00 | |
| 1000F | 0% | 912 | $0.00 | |
| 90620 | 0% | 164 | $0.00 | |
| 91307 | 0% | 18 | $0.00 | |
| 90660 | 0% | 16 | $0.00 | |
| 90381 | 0% | 15 | $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 officialBERTIN, ROBERT (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Memphis Children's Clinic, PLLC | Southaven, MS | $1.21M |
| Memphis Children's Clinic, PLLC | Memphis, TN | $48K |
| Memphis Children's Clinic, PLLC | Germantown, TN | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.