Physician
Knoxville Pediatric Associates, P.C.
Knoxville Pediatric Associates, P.C. was paid $6.12M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoKNOXVILLE PEDIATRIC ASSOCIATES, P.C.
KNOXVILLE, TN 37916
KNOXVILLE, TN 37916
33aNPI1407946312assigned 10/13/2006
33bProvider typePediatrics Physician
28Total paid$6.12M
24GClaims177,653
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#17 of 333
Median peer was paid$139K
This provider vs. median44×
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 | 26,743 | $773K | |
| 2019 | 30,650 | $887K | |
| 2020 | 20,421 | $642K | |
| 2021 | 26,884 | $953K | |
| 2022 | 27,446 | $1.01M | |
| 2023 | 26,497 | $1.07M | |
| 2024incomplete | 19,012 | $793K |
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 | 59% | 80,616 | 72,573 | $3.61M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 16,501 | 14,995 | $785K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.8% | 7,523 | 6,802 | $536K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.9% | 5,575 | 5,158 | $426K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.8% | 2,630 | 2,472 | $112K |
| 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 | 1.8% | 1,621 | 1,469 | $108K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 1,170 | 1,109 | $86K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.1% | 2,322 | 2,175 | $68K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.0% | 831 | 796 | $63K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 5,184 | 3,681 | $56K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,889 | 4,589 | $53K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 6,369 | 5,638 | $49K |
36 more codes
| 99177 | <1% | 3,411 | $25K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,824 | $25K |
| 92552 | <1% | 1,440 | $25K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,135 | $23K |
| 36416 | <1% | 6,703 | $12K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 94 | $8K |
| 90686 | <1% | 5,811 | $8K | |
| 87081 | <1% | 3,143 | $7K | |
| 96127 | <1% | 1,461 | $6K | |
| 99173 | <1% | 1,040 | $6K | |
| 90670 | <1% | 3,727 | $6K | |
| 87807 | <1% | 315 | $3K | |
| 99174 | <1% | 334 | $3K | |
| 90671 | <1% | 945 | $2K | |
| 83655 | <1% | 133 | $2K | |
| 0071A | <1% | 47 | $1K | |
| 87634 | <1% | 25 | $1K | |
| 90723 | <1% | 2,341 | $1K | |
| 90680 | <1% | 2,103 | $1K | |
| 92583 | <1% | 40 | $1K | |
| 99381 | <1% | 13 | $1K | |
| 81002 | <1% | 382 | $992.83 | |
| 94760 | <1% | 1,834 | $979.28 | |
| 88720 | <1% | 195 | $870.27 | |
| 90647 | <1% | 2,293 | $372.56 | |
| 96380 | <1% | 18 | $332.03 | |
| 90633 | <1% | 192 | $77.13 | |
| 81003 | <1% | 29 | $60.25 | |
| 90656 | <1% | 81 | $42.79 | |
| 90685 | 0% | 103 | $0.00 | |
| 90658 | 0% | 41 | $0.00 | |
| 90707 | 0% | 36 | $0.00 | |
| 90716 | 0% | 36 | $0.00 | |
| 91307 | 0% | 48 | $0.00 | |
| 90674 | 0% | 28 | $0.00 | |
| 90696 | 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 officialSANTOS, REBECCA (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Building Essential Skills Together | North Billerica, MA | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.