Physician
Youthcare Pediatrics
Youthcare Pediatrics was paid $3.11M by Medicaid between Jan 2018 and Nov 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoYOUTHCARE PEDIATRICS
BRISTOL, TN 37620
BRISTOL, TN 37620
33aNPI1275841488assigned 09/22/2010
33bProvider typePediatrics Physician
28Total paid$3.11M
24GClaims126,883
24DCodes billed60
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#37 of 333
Median peer was paid$139K
This provider vs. median22×
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 | 12,688 | $275K | |
| 2019 | 22,494 | $498K | |
| 2020 | 18,045 | $423K | |
| 2021 | 19,145 | $487K | |
| 2022 | 20,625 | $521K | |
| 2023 | 18,262 | $470K | |
| 2024incomplete | 15,624 | $436K |
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 | 34% | 20,552 | 16,682 | $1.05M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 4,303 | 3,880 | $318K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.1% | 3,831 | 3,580 | $285K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.9% | 2,659 | 2,368 | $215K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.5% | 3,168 | 2,703 | $202K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.4% | 4,594 | 4,043 | $200K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.8% | 10,319 | 8,776 | $150K |
| 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 | 4.3% | 1,859 | 1,652 | $135K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 2.4% | 1,532 | 1,378 | $74K |
| 92551 | 2.2% | 8,289 | 7,375 | $69K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 1,721 | 1,473 | $55K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 3,472 | 1,670 | $40K |
48 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 3,368 | $36K |
| 99173 | <1% | 7,739 | $26K | |
| 3008F | <1% | 8,542 | $17K | |
| 90651 | <1% | 833 | $16K | |
| 90670 | <1% | 2,077 | $16K | |
| 96127 | <1% | 3,549 | $16K | |
| 90680 | <1% | 1,563 | $15K | |
| 90723 | <1% | 1,841 | $14K | |
| 99174 | <1% | 1,757 | $13K | |
| 90648 | <1% | 2,449 | $11K | |
| 90734 | <1% | 926 | $11K | |
| 83655 | <1% | 965 | $10K | |
| 99383 | <1% | 106 | $8K | |
| 3074F | <1% | 4,582 | $8K | |
| 3078F | <1% | 4,539 | $8K | |
| 90716 | <1% | 1,175 | $8K | |
| 90707 | <1% | 1,212 | $7K | |
| 90671 | <1% | 212 | $7K | |
| 90620 | <1% | 438 | $7K | |
| 90633 | <1% | 1,369 | $7K | |
| 90686 | <1% | 1,419 | $6K | |
| 89190 | <1% | 6,150 | $5K | |
| 99188 | <1% | 227 | $4K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 88 | $4K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 42 | $4K |
| 99401 | <1% | 191 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 24 | $2K |
| 99358 | Prolong nursin fac eval 15m | <1% | 177 | $2K |
| 90715 | <1% | 364 | $2K | |
| 99381 | <1% | 30 | $2K | |
| 87210 | <1% | 581 | $2K | |
| 87807 | <1% | 181 | $2K | |
| 90696 | <1% | 316 | $2K | |
| 85018 | <1% | 592 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $1K |
| 90677 | <1% | 169 | $1K | |
| 90710 | <1% | 26 | $1K | |
| 90700 | <1% | 173 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 17 | $1K |
| 0002A | <1% | 34 | $920.00 | |
| 99460 | <1% | 14 | $799.87 | |
| 0001A | <1% | 34 | $720.00 | |
| 90649 | <1% | 29 | $655.01 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 17 | $464.13 |
| 81000 | <1% | 162 | $361.45 | |
| 90685 | <1% | 57 | $192.93 | |
| 90461 | <1% | 101 | $56.30 | |
| 91300 | 0% | 110 | $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 officialMITORAJ, THOMAS (OWNER)