Physician
Pediatric Consultants at Cedar Bluff
Pediatric Consultants at Cedar Bluff was paid $2.30M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoPEDIATRIC CONSULTANTS AT CEDAR BLUFF
KNOXVILLE, TN 37923
KNOXVILLE, TN 37923
33aNPI1316118714assigned 03/13/2008
33bProvider typePediatrics Physician
28Total paid$2.30M
24GClaims73,737
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#52 of 333
Median peer was paid$139K
This provider vs. median17×
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 | 9,127 | $289K | |
| 2019 | 5,411 | $162K | |
| 2020 | 4,250 | $142K | |
| 2021 | 6,011 | $218K | |
| 2022 | 12,212 | $382K | |
| 2023 | 18,220 | $551K | |
| 2024incomplete | 18,506 | $559K |
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 | 31% | 14,239 | 12,428 | $709K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 3,320 | 3,070 | $262K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 4,935 | 4,115 | $244K |
| 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 | 10.0% | 2,983 | 2,822 | $230K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.5% | 2,708 | 2,482 | $197K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.0% | 2,077 | 1,966 | $162K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 1,008 | 934 | $87K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.7% | 2,679 | 2,498 | $62K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 3,415 | 1,568 | $38K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 3,236 | 2,868 | $36K |
| 99460 | 1.3% | 509 | 453 | $29K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 1,914 | 1,723 | $29K |
45 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | 1.1% | 488 | $26K |
| 96127 | 1.1% | 5,469 | $25K | |
| 96161 | 1.1% | 1,956 | $25K | |
| 99381 | 1.1% | 351 | $25K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 708 | $22K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 446 | $16K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 913 | $16K |
| 99383 | <1% | 150 | $11K | |
| 92552 | <1% | 458 | $9K | |
| 83655 | <1% | 464 | $5K | |
| 99463 | <1% | 69 | $5K | |
| 99384 | <1% | 47 | $4K | |
| 99462 | <1% | 137 | $4K | |
| 99382 | <1% | 47 | $3K | |
| 85018 | <1% | 1,345 | $3K | |
| 90670 | <1% | 2,252 | $3K | |
| 90474 | <1% | 222 | $2K | |
| 36416 | <1% | 1,542 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 20 | $2K |
| 90461 | <1% | 3,139 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 37 | $2K |
| 90651 | <1% | 191 | $900.00 | |
| 87807 | <1% | 85 | $843.34 | |
| 90716 | <1% | 715 | $815.33 | |
| 90707 | <1% | 711 | $725.71 | |
| 99173 | <1% | 120 | $690.18 | |
| 80061 | Lipid panel | <1% | 39 | $685.83 |
| 90734 | <1% | 241 | $580.17 | |
| 90648 | <1% | 2,274 | $290.70 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $243.83 |
| 90633 | <1% | 724 | $211.75 | |
| 90696 | <1% | 204 | $149.10 | |
| 90715 | <1% | 57 | $115.66 | |
| 90680 | <1% | 1,097 | $98.82 | |
| 90723 | <1% | 1,460 | $97.97 | |
| 90686 | <1% | 496 | $72.18 | |
| 81003 | <1% | 27 | $54.62 | |
| 90685 | <1% | 115 | $49.56 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,134 | $0.00 |
| 90688 | 0% | 38 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 81 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 275 | $0.00 |
| 90700 | 0% | 203 | $0.00 | |
| 90710 | 0% | 130 | $0.00 | |
| 90655 | 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 officialOWENS, TONYA (MANAGER)