Physician
Memphis Children's Clinic, PLLC
Memphis Children's Clinic, PLLC was paid $48K by Medicaid between Jan 2018 and Jan 2020, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoMEMPHIS CHILDREN'S CLINIC, PLLC
MEMPHIS, TN 38115
MEMPHIS, TN 38115
33aNPI1295815116assigned 10/16/2006
33bProvider typePediatrics Physician
28Total paid$48K
24GClaims1,137
24DCodes billed12
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#210 of 333
Median peer was paid$139K
This provider vs. median0.3×
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 | 398 | $18K | |
| 2019 | 722 | $29K | |
| 2020 | 17 | $566.02 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 51% | 300 | 260 | $24K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 24% | 250 | 216 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 134 | 125 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 29 | 27 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 96 | 42 | $827.10 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 41 | 35 | $339.66 |
| 99173 | <1% | 77 | 70 | $172.50 | |
| 92551 | <1% | 15 | 14 | $141.40 | |
| 87081 | <1% | 31 | 26 | $122.85 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14 | 12 | $74.48 |
| 96127 | <1% | 13 | 12 | $61.56 | |
| 99051 | 0% | 137 | 125 | $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 | Memphis, TN | $27.80M |
| Memphis Children's Clinic, PLLC | Southaven, MS | $1.21M |
| 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.