Physician
Rivergate Pediatrics PC
Rivergate Pediatrics PC was paid $2.15M by Medicaid between Jan 2018 and Mar 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoRIVERGATE PEDIATRICS PC
GOODLETTSVILLE, TN 37072
GOODLETTSVILLE, TN 37072
33aNPI1366438640assigned 09/22/2005
33bProvider typePediatrics Physician
28Total paid$2.15M
24GClaims103,875
24DCodes billed53
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#53 of 333
Median peer was paid$139K
This provider vs. median15×
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 | 6,975 | $160K | |
| 2019 | 9,807 | $201K | |
| 2020 | 8,041 | $154K | |
| 2021 | 18,714 | $395K | |
| 2022 | 23,148 | $486K | |
| 2023 | 31,105 | $623K | |
| 2024incomplete | 6,085 | $130K |
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% | 18,144 | 15,806 | $819K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 19% | 12,818 | 9,114 | $399K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.2% | 2,967 | 2,670 | $197K |
| 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 | 7.0% | 2,196 | 1,936 | $149K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 2,117 | 1,876 | $125K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.2% | 1,405 | 1,199 | $91K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.5% | 6,278 | 4,926 | $55K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 1,883 | 1,638 | $52K |
| 87428 | 2.3% | 865 | 771 | $49K | |
| 92551 | 2.1% | 6,070 | 5,171 | $44K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 526 | 437 | $37K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 2,736 | 1,206 | $25K |
41 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,987 | $21K |
| 96127 | <1% | 5,445 | $16K | |
| 3008F | <1% | 7,933 | $8K | |
| 87070 | <1% | 1,838 | $8K | |
| 96160 | <1% | 2,502 | $8K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,522 | $6K |
| 96161 | <1% | 1,093 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 306 | $5K |
| 90670 | <1% | 1,258 | $4K | |
| 99173 | <1% | 1,830 | $4K | |
| 90686 | <1% | 4,057 | $4K | |
| 99383 | <1% | 44 | $3K | |
| 90698 | <1% | 1,463 | $3K | |
| 90677 | <1% | 176 | $2K | |
| 99177 | <1% | 469 | $2K | |
| 36416 | <1% | 2,043 | $807.26 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $673.92 |
| 94760 | <1% | 1,867 | $663.32 | |
| 90716 | <1% | 202 | $606.17 | |
| 90680 | <1% | 443 | $545.02 | |
| 80061 | Lipid panel | <1% | 38 | $414.82 |
| 99051 | <1% | 70 | $341.28 | |
| 90707 | <1% | 208 | $318.89 | |
| 90480 | <1% | 15 | $317.96 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 20 | $237.22 |
| 99050 | <1% | 12 | $214.69 | |
| 90651 | <1% | 18 | $177.70 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 115 | $140.72 |
| 83655 | <1% | 15 | $114.54 | |
| 81002 | <1% | 53 | $82.02 | |
| 90696 | <1% | 17 | $82.00 | |
| 90744 | <1% | 128 | $62.95 | |
| 85018 | <1% | 40 | $51.99 | |
| 90633 | <1% | 153 | $43.67 | |
| 99000 | <1% | 3,956 | $8.64 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 18 | $7.94 |
| 3210F | 0% | 2,969 | $0.00 | |
| 99072 | 0% | 345 | $0.00 | |
| 90685 | 0% | 33 | $0.00 | |
| 5250F | 0% | 22 | $0.00 | |
| 90674 | 0% | 132 | $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 officialEIDSON, TIMOTHY (VICE PRESIDENT)