The Center for Pediatric Excellence, PLLC

The Center for Pediatric Excellence, PLLC was paid $366K by Medicaid between Oct 2022 and Dec 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.

33Billing provider infoTHE CENTER FOR PEDIATRIC EXCELLENCE, PLLC
SMYRNA, TN 37167

33aNPI1386382273assigned 05/22/2022

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$366K

24GClaims14,797

24DCodes billed43

24AFirst – last monthOct 2022 – Dec 2024

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Tennessee

Rank by total paid#8 of 16

Median peer was paid$236K

This provider vs. median1.5×

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
2022	264	$7K
2023	6,471	$147K
2024incomplete	8,062	$212K

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	27%	2,641	2,122	$98K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	19%	1,206	969	$68K
90460	Immunization administration through 18 years of age via any route, first or only component	14%	1,486	1,353	$51K
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	11%	652	584	$40K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	9.3%	524	500	$34K
96110	Developmental screening, with scoring and documentation, per standardized instrument	6.3%	1,275	1,173	$23K
99460		1.8%	140	123	$7K
99238	Hospital discharge day management, 30 minutes or less	1.3%	125	104	$5K
90461		1.1%	1,052	947	$4K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	1.0%	124	108	$4K
90472	Immunization administration, each additional vaccine (list separately)	<1%	229	160	$3K
96160		<1%	668	565	$3K

31 more codes

99383		<1%	55	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	289	$3K
99177		<1%	516	$3K
99239	Hospital discharge day management, more than 30 minutes	<1%	44	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	38	$2K
90671		<1%	820	$2K
87400		<1%	205	$2K
99462		<1%	54	$1K
90697		<1%	560	$1K
V5008	Hearing screening	<1%	71	$989.99
99382		<1%	15	$827.06
99203	Doctor's office visit, new patient (routine)	<1%	15	$810.98
81003		<1%	448	$738.25
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	76	$733.53
90681		<1%	249	$636.34
87428		<1%	13	$576.80
90474		<1%	95	$545.46
92558		<1%	107	$374.30
36416		<1%	244	$321.60
85018		<1%	116	$221.11
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	19	$179.14
87807		<1%	16	$123.75
90723		<1%	34	$92.66
90633		<1%	163	$89.89
90648		<1%	56	$50.44
90688		<1%	128	$0.01
90670		0%	124	$0.00
90707		0%	31	$0.00
90473		0%	25	$0.00
90716		0%	33	$0.00
90686		0%	16	$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 officialJOHNSON, DEREK (CEO)