Grace Pediatrics PLLC

Grace Pediatrics PLLC was paid $12.08M by Medicaid between Jan 2018 and Dec 2024, across 76 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.

33Billing provider infoGRACE PEDIATRICS PLLC
SMYRNA, TN 37167

33aNPI1467781690assigned 12/17/2009

33bProvider typePediatric Nurse Practitioner

28Total paid$12.08M

24GClaims540,847

24DCodes billed76

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Nurse Practitioner providers in Tennessee

Rank by total paid#3 of 70

Median peer was paid$60K

This provider vs. median200×

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	57,130	$1.33M
2019	71,016	$1.72M
2020	69,334	$1.50M
2021	78,172	$1.67M
2022	87,351	$1.89M
2023	87,549	$1.94M
2024incomplete	90,295	$2.03M

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	26%	77,107	67,993	$3.10M
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	13%	25,619	22,512	$1.55M
90460	Immunization administration through 18 years of age via any route, first or only component	13%	38,394	33,142	$1.53M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	9.7%	17,979	16,389	$1.18M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	7.7%	15,686	13,895	$931K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.9%	11,058	10,033	$713K
96110	Developmental screening, with scoring and documentation, per standardized instrument	5.5%	39,422	31,421	$667K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	1.9%	6,836	6,337	$225K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.8%	21,661	9,776	$223K
99177		1.8%	42,995	38,866	$218K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.7%	2,821	2,525	$204K
99460		1.6%	4,365	3,757	$192K

64 more codes

87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.3%	19,786	$161K
54150		1.3%	1,321	$152K
99238	Hospital discharge day management, 30 minutes or less	1.2%	3,190	$143K
92551		1.1%	19,733	$127K
96161		<1%	11,837	$108K
96160		<1%	12,054	$106K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	3,038	$105K
96127		<1%	21,697	$80K
99239	Hospital discharge day management, more than 30 minutes	<1%	1,153	$69K
99462		<1%	2,949	$66K
3008F		<1%	35,068	$44K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	3,256	$38K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,453	$38K
90670		<1%	8,349	$22K
90461		<1%	19,616	$17K
36416		<1%	7,573	$8K
99464		<1%	164	$7K
90677		<1%	2,084	$7K
90686		<1%	11,136	$7K
90723		<1%	6,211	$6K
83655		<1%	745	$6K
85018		<1%	2,765	$5K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	812	$4K
90651		<1%	501	$4K
99203	Doctor's office visit, new patient (routine)	<1%	73	$4K
36415	Collection of venous blood by venipuncture	<1%	2,194	$4K
90734		<1%	366	$2K
80061	Lipid panel	<1%	191	$2K
90633		<1%	2,536	$2K
96380		<1%	101	$2K
90681		<1%	1,733	$2K
87807		<1%	195	$1K
90648		<1%	6,937	$1K
99051		<1%	360	$1K
99173		<1%	335	$962.40
90661		<1%	824	$872.91
81003		<1%	504	$752.06
90710		<1%	100	$638.93
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	46	$597.91
90647		<1%	1,699	$557.80
90656		<1%	293	$328.27
90688		<1%	243	$307.85
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	22	$304.22
90620		<1%	25	$249.15
90716		<1%	293	$144.82
90685		<1%	273	$142.32
90696		<1%	71	$111.09
94761		<1%	16	$99.85
90707		<1%	280	$83.46
90674		<1%	278	$74.68
90381		<1%	44	$18.20
A7016	Dome and mouthpiece, used with small volume ultrasonic nebulizer	<1%	18	$13.85
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	12	$13.80
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	13	$11.93
99000		<1%	20,074	$8.49
A7015	Aerosol mask, used with dme nebulizer	<1%	31	$4.05
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	30	$1.20
90715		0%	13	$0.00
90380		0%	13	$0.00
90700		0%	83	$0.00
90744		0%	13	$0.00
90680		0%	17	$0.00
A4616	Tubing (oxygen), per foot	0%	31	$0.00
90698		0%	33	$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 officialHUGHES, MARK (OWNER/PHYSICIAN)

Same official

Other billing entities under HUGHES, MARK

Full network →

Provider	Location	Paid
Pedforall	Brentwood, TN	$748K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.