Newport Pediatrics, P.C.

Newport Pediatrics, P.C. was paid $11.71M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoNEWPORT PEDIATRICS, P.C.
NEWPORT, TN 37821

33aNPI1467678706assigned 04/17/2007

33bProvider typePediatrics Physician

28Total paid$11.71M

24GClaims465,170

24DCodes billed84

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Tennessee

Rank by total paid#9 of 333

Median peer was paid$139K

This provider vs. median84×

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	47,690	$1.14M
2019	52,561	$1.45M
2020	54,682	$1.42M
2021	74,110	$1.89M
2022	91,871	$2.26M
2023	72,875	$1.93M
2024incomplete	71,381	$1.62M

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	32%	80,857	69,586	$3.72M
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	10%	16,873	14,815	$1.19M
90460	Immunization administration through 18 years of age via any route, first or only component	7.0%	23,244	19,919	$817K
96110	Developmental screening, with scoring and documentation, per standardized instrument	6.1%	25,686	19,764	$716K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.9%	9,132	8,162	$695K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.8%	8,772	7,492	$676K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	4.7%	6,775	6,197	$556K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	4.1%	14,538	13,366	$479K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	3.7%	9,399	8,619	$434K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	3.5%	5,658	4,743	$406K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.2%	4,296	3,524	$372K
96160		2.9%	31,380	22,566	$345K

72 more codes

85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.6%	22,296	$182K
92551		1.4%	20,142	$160K
99173		1.1%	19,690	$124K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	2,792	$84K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	2,292	$76K
99401		<1%	3,190	$75K
98966		<1%	1,198	$69K
96127		<1%	14,416	$66K
98967		<1%	853	$54K
96161		<1%	3,086	$47K
99605		<1%	755	$45K
36416		<1%	21,228	$42K
99050		<1%	1,620	$26K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	1,984	$24K
83655		<1%	2,147	$24K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	1,900	$23K
90677		<1%	470	$22K
3008F		<1%	24,661	$21K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	1,133	$20K
D1206	Topical application of fluoride varnish	<1%	895	$16K
99215	Doctor's office visit, returning patient (complex)	<1%	98	$11K
D0190		<1%	893	$9K
80061	Lipid panel	<1%	651	$8K
87807		<1%	699	$7K
94760		<1%	4,786	$6K
81003		<1%	3,018	$6K
90651		<1%	602	$5K
99177		<1%	750	$5K
0001A		<1%	167	$5K
90792	Psychiatric diagnostic evaluation with medical services	<1%	72	$5K
0002A		<1%	140	$4K
90461		<1%	9,399	$4K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	227	$4K
82962		<1%	966	$3K
90670		<1%	3,498	$3K
36415	Collection of venous blood by venipuncture	<1%	1,233	$3K
99051		<1%	4,031	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	127	$2K
90473		<1%	170	$1K
90619		<1%	96	$1K
99381		<1%	18	$1K
98968		<1%	14	$1K
90680		<1%	1,701	$667.34
90710		<1%	138	$600.00
90686		<1%	4,160	$597.94
90688		<1%	1,236	$510.55
90734		<1%	199	$501.73
90698		<1%	2,463	$500.00
90621		<1%	13	$468.00
0071A		<1%	13	$429.28
81025		<1%	66	$338.62
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	297	$325.76
90633		<1%	679	$251.32
94664		<1%	13	$215.36
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	132	$166.57
90661		<1%	199	$151.73
90715		<1%	89	$96.31
90785		<1%	32	$88.23
90744		<1%	313	$84.00
90672		<1%	225	$82.76
A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable	<1%	218	$75.90
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	232	$26.32
99000		<1%	34,666	$12.16
S0119	Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code)	<1%	485	$9.09
90674		0%	999	$0.00
90697		0%	295	$0.00
90716		0%	144	$0.00
90696		0%	12	$0.00
90687		0%	374	$0.00
91300		0%	612	$0.00
90707		0%	104	$0.00
90685		0%	48	$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 officialPUCKETT, SAMUEL (PRESIDENT)