Physician
Vanderbilt Integrated Providers, LLC
Vanderbilt Integrated Providers, LLC was paid $2.66M by Medicaid between Jul 2021 and Dec 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoVANDERBILT INTEGRATED PROVIDERS, LLC
HOPKINSVILLE, KY 42240
HOPKINSVILLE, KY 42240
33aNPI1356936744assigned 03/08/2021
33bProvider typePediatrics Physician
28Total paid$2.66M
24GClaims53,766
24DCodes billed51
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Kentucky
Rank by total paid#10 of 156
Median peer was paid$41K
This provider vs. median65×
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 | |
|---|---|---|---|
| 2021 | 8,583 | $236K | |
| 2022 | 16,211 | $810K | |
| 2023 | 16,251 | $879K | |
| 2024incomplete | 12,721 | $738K |
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 | 38% | 13,215 | 11,155 | $1.00M |
| 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 | 20% | 4,870 | 4,232 | $536K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.5% | 4,961 | 4,445 | $172K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.9% | 1,726 | 1,561 | $157K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.1% | 2,958 | 2,278 | $136K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 5.0% | 1,318 | 1,206 | $133K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.5% | 1,384 | 1,154 | $120K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 4.0% | 2,810 | 2,604 | $106K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 1,104 | 964 | $97K |
| 90461 | 2.1% | 1,534 | 1,461 | $56K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 306 | 274 | $31K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,923 | 1,694 | $21K |
39 more codes
| 92552 | <1% | 434 | $14K | |
| 92551 | <1% | 1,093 | $10K | |
| 96160 | <1% | 5,109 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 510 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 235 | $8K |
| 69210 | <1% | 161 | $7K | |
| 96127 | <1% | 1,700 | $7K | |
| 87428 | <1% | 179 | $5K | |
| 99174 | <1% | 469 | $5K | |
| 99173 | <1% | 980 | $4K | |
| 87634 | <1% | 56 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $3K |
| 85018 | <1% | 863 | $2K | |
| 83655 | <1% | 108 | $2K | |
| 96161 | <1% | 665 | $1K | |
| 0001A | <1% | 51 | $949.57 | |
| 0002A | <1% | 48 | $830.11 | |
| 90670 | <1% | 356 | $767.83 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 56 | $572.77 |
| 90698 | <1% | 296 | $387.05 | |
| 90651 | <1% | 147 | $186.88 | |
| 90723 | <1% | 92 | $167.83 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | $133.21 |
| 90680 | <1% | 319 | $110.72 | |
| 90686 | <1% | 476 | $65.14 | |
| 36416 | <1% | 52 | $63.95 | |
| 90619 | <1% | 27 | $62.48 | |
| 90633 | <1% | 113 | $45.99 | |
| 90677 | 0% | 219 | $0.00 | |
| 99000 | 0% | 63 | $0.00 | |
| 91307 | 0% | 31 | $0.00 | |
| 90744 | 0% | 48 | $0.00 | |
| 90697 | 0% | 41 | $0.00 | |
| 90661 | 0% | 90 | $0.00 | |
| 91300 | 0% | 128 | $0.00 | |
| 90648 | 0% | 217 | $0.00 | |
| 90671 | 0% | 102 | $0.00 | |
| 90734 | 0% | 71 | $0.00 | |
| 90710 | 0% | 12 | $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 officialMONACI, WENDY (VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Vanderbilt Integrated Providers, LLC | Nashville, TN | $4.34M |
| Clarksville Physician Services LLC | Clarksville, TN | $1.53M |
| Vanderbilt Integrated Providers, LLC | Tullahoma, TN | $1.26M |
| Clarksville Physician Services, LLC | Dover, TN | $271K |
| Vanderbilt Integrated Providers, LLC | Tullahoma, TN | $41K |
| Vanderbilt Integrated Providers, LLC | Tullahoma, TN | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.