Physician
Primary Care and Urgent Care of Nashville, PLLC
Primary Care and Urgent Care of Nashville, PLLC was paid $724K by Medicaid between Jul 2023 and Dec 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoPRIMARY CARE AND URGENT CARE OF NASHVILLE, PLLC
NASHVILLE, NC 27856
NASHVILLE, NC 27856
33aNPI1265148944assigned 01/26/2023
33bProvider typePediatrics Physician
28Total paid$724K
24GClaims32,796
24DCodes billed43
24AFirst – last monthJul 2023 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#238 of 433
Median peer was paid$942K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2023 | 10,123 | $195K | |
| 2024incomplete | 22,673 | $529K |
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% | 4,473 | 3,403 | $192K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 18% | 2,684 | 1,820 | $133K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 9.2% | 2,461 | 1,813 | $67K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.3% | 780 | 556 | $53K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.7% | 660 | 490 | $48K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 6.2% | 2,517 | 1,809 | $45K |
| 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 | 5.7% | 883 | 624 | $41K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.4% | 1,193 | 834 | $25K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 265 | 191 | $19K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.5% | 1,595 | 1,077 | $18K |
| 99199 | Unlisted special service, procedure or report | 2.2% | 5,131 | 5,125 | $16K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 255 | 149 | $14K |
31 more codes
| 92553 | 1.4% | 900 | $10K | |
| 87634 | 1.1% | 361 | $8K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 694 | $6K |
| 99381 | <1% | 133 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 674 | $4K |
| 90474 | <1% | 329 | $4K | |
| 99307 | <1% | 401 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 126 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 127 | $2K |
| 96127 | <1% | 836 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 311 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,003 | $1K |
| 99173 | <1% | 904 | $1K | |
| 90677 | <1% | 670 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 99 | $868.40 |
| 85018 | <1% | 215 | $467.20 | |
| 81003 | <1% | 183 | $298.52 | |
| 90656 | <1% | 49 | $236.53 | |
| 90723 | <1% | 350 | $0.02 | |
| 90633 | <1% | 334 | $0.01 | |
| 90681 | 0% | 319 | $0.00 | |
| 90648 | 0% | 78 | $0.00 | |
| 90734 | 0% | 48 | $0.00 | |
| 90710 | 0% | 141 | $0.00 | |
| 90700 | 0% | 33 | $0.00 | |
| 90670 | 0% | 39 | $0.00 | |
| 90647 | 0% | 317 | $0.00 | |
| 90698 | 0% | 98 | $0.00 | |
| 90688 | 0% | 72 | $0.00 | |
| 90620 | 0% | 34 | $0.00 | |
| 36416 | 0% | 21 | $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 officialEMANUEL, SHANDAL (PHYSICIAN OWNER)