Blackmon Pediatrics, PLLC

Blackmon Pediatrics, PLLC was paid $88K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.

33Billing provider infoBLACKMON PEDIATRICS, PLLC
POWELL, TN 37849

33aNPI1437167194assigned 08/04/2006

33bProvider typePrimary Care Clinic/Center

28Total paid$88K

24GClaims2,988

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in Tennessee

Rank by total paid#73 of 139

Median peer was paid$101K

This provider vs. median0.9×

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	504	$13K
2019	638	$12K
2020	198	$3K
2021	394	$14K
2022	426	$14K
2023	509	$19K
2024incomplete	319	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	51%	944	818	$45K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	37%	961	868	$32K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.6%	160	152	$4K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	3.5%	286	218	$3K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	1.5%	30	29	$1K
36416		1.0%	316	243	$896.17
81003		<1%	213	168	$517.33
92551		<1%	51	37	$347.59
96127		<1%	27	13	$146.52

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 officialWELLS, AUBREY (OFFICE MANAGER)