Physician
Loudon Pediatric Clinic PC
Loudon Pediatric Clinic PC was paid $3.16M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoLOUDON PEDIATRIC CLINIC PC
LOUDON, TN 37774
LOUDON, TN 37774
33aNPI1356508188assigned 05/20/2008
33bProvider typePediatrics Physician
28Total paid$3.16M
24GClaims132,179
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#36 of 333
Median peer was paid$139K
This provider vs. median23×
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 | 16,443 | $398K | |
| 2019 | 20,075 | $487K | |
| 2020 | 15,088 | $359K | |
| 2021 | 19,511 | $444K | |
| 2022 | 21,134 | $473K | |
| 2023 | 22,544 | $524K | |
| 2024incomplete | 17,384 | $471K |
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 | 29% | 21,814 | 19,021 | $923K |
| 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 | 21% | 10,100 | 9,107 | $648K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 9,158 | 8,486 | $362K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.9% | 4,615 | 4,374 | $313K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 2,854 | 2,691 | $182K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 2,525 | 2,343 | $167K |
| 87430 | 2.8% | 9,462 | 8,602 | $90K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 893 | 783 | $66K |
| 92552 | 2.1% | 4,015 | 3,680 | $65K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.0% | 3,009 | 2,819 | $65K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.8% | 470 | 452 | $58K |
| 87070 | 1.1% | 7,330 | 6,719 | $34K |
40 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,787 | $30K |
| 80061 | Lipid panel | <1% | 2,023 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 646 | $18K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,595 | $17K |
| 99173 | <1% | 4,194 | $15K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 3,243 | $14K |
| 96160 | <1% | 1,502 | $8K | |
| 3008F | <1% | 8,499 | $8K | |
| 36416 | <1% | 5,109 | $7K | |
| 85018 | <1% | 2,371 | $5K | |
| D1206 | Topical application of fluoride varnish | <1% | 221 | $4K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 190 | $4K |
| 90461 | <1% | 4,965 | $4K | |
| 81002 | <1% | 1,463 | $3K | |
| 90686 | <1% | 4,109 | $3K | |
| D0190 | <1% | 219 | $3K | |
| 83655 | <1% | 238 | $2K | |
| 87807 | <1% | 263 | $2K | |
| 90670 | <1% | 1,448 | $2K | |
| 94760 | <1% | 4,830 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 16 | $1K |
| 90651 | <1% | 97 | $857.99 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 56 | $823.26 |
| 90734 | <1% | 40 | $796.72 | |
| 90716 | <1% | 213 | $694.61 | |
| 96161 | <1% | 77 | $500.96 | |
| 69210 | <1% | 16 | $445.55 | |
| 90707 | <1% | 213 | $401.69 | |
| 90633 | <1% | 268 | $259.52 | |
| 96380 | <1% | 16 | $184.21 | |
| 90648 | <1% | 1,885 | $168.74 | |
| 90672 | <1% | 364 | $162.72 | |
| 90723 | <1% | 803 | $160.77 | |
| 90680 | <1% | 663 | $132.37 | |
| 99188 | <1% | 317 | $98.98 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 40 | $88.18 |
| 90671 | <1% | 274 | $20.04 | |
| 99000 | <1% | 88 | $3.48 | |
| 90685 | 0% | 91 | $0.00 | |
| 99072 | 0% | 482 | $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 officialGUIDER, JAMES (PRESIDENT)