Physician
Cordova Pediatrics PLLC
Cordova Pediatrics PLLC was paid $2.93M by Medicaid between Jan 2018 and Jan 2023, across 70 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 16% of everything it billed.
33Billing provider infoCORDOVA PEDIATRICS PLLC
CORDOVA, TN 38016
CORDOVA, TN 38016
33aNPI1477513992assigned 03/27/2006
33bProvider typePediatrics Physician
28Total paid$2.93M
24GClaims174,404
24DCodes billed70
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#41 of 333
Median peer was paid$139K
This provider vs. median21×
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 | 40,051 | $641K | |
| 2019 | 46,088 | $830K | |
| 2020 | 30,117 | $459K | |
| 2021 | 27,934 | $436K | |
| 2022 | 30,021 | $558K | |
| 2023 | 193 | $3K |
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 | 16% | 11,946 | 10,107 | $471K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 17,776 | 8,325 | $424K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 4,535 | 3,787 | $299K |
| 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% | 4,954 | 4,267 | $296K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.2% | 4,172 | 3,385 | $239K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 2,126 | 1,843 | $143K |
| 95930 | 4.5% | 3,607 | 3,074 | $131K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 4.3% | 1,238 | 1,121 | $124K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.9% | 13,300 | 10,978 | $114K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.8% | 4,069 | 3,558 | $111K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 3.3% | 604 | 550 | $96K |
| 92552 | 2.3% | 4,573 | 3,811 | $67K |
58 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 743 | $55K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.4% | 266 | $42K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 1,239 | $38K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.1% | 943 | $31K |
| 36416 | 1.0% | 13,855 | $31K | |
| 99173 | <1% | 3,178 | $23K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,070 | $21K |
| 92567 | <1% | 1,404 | $20K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,447 | $17K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 189 | $16K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 386 | $14K |
| 83655 | <1% | 985 | $13K | |
| 90670 | <1% | 3,474 | $11K | |
| 87807 | <1% | 849 | $9K | |
| 81002 | <1% | 2,348 | $7K | |
| 81003 | <1% | 3,479 | $7K | |
| 96127 | <1% | 1,583 | $6K | |
| 90461 | <1% | 7,873 | $6K | |
| 90651 | <1% | 262 | $5K | |
| 99381 | <1% | 67 | $4K | |
| 90716 | <1% | 668 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 54 | $3K |
| 99383 | <1% | 35 | $3K | |
| 90633 | <1% | 1,517 | $3K | |
| 94760 | <1% | 1,548 | $2K | |
| 90734 | <1% | 196 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 125 | $2K |
| A4258 | Spring-powered device for lancet, each | <1% | 13,778 | $2K |
| 90707 | <1% | 695 | $2K | |
| 3008F | <1% | 350 | $2K | |
| 80061 | Lipid panel | <1% | 110 | $1K |
| 90700 | <1% | 1,941 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 34 | $1K |
| 90688 | <1% | 555 | $1K | |
| 90680 | <1% | 1,886 | $880.18 | |
| 90698 | <1% | 747 | $735.42 | |
| 90713 | <1% | 1,066 | $662.49 | |
| 90715 | <1% | 36 | $326.44 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 98 | $230.25 |
| 69210 | <1% | 27 | $200.44 | |
| 86580 | <1% | 32 | $193.78 | |
| A4556 | Electrodes, (e.g., apnea monitor), per pair | <1% | 3,578 | $184.54 |
| 90647 | <1% | 1,051 | $171.37 | |
| 90685 | <1% | 192 | $152.40 | |
| 90744 | <1% | 1,081 | $122.28 | |
| A4558 | Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz | <1% | 3,562 | $83.09 |
| 90696 | <1% | 52 | $69.78 | |
| 90648 | <1% | 551 | $42.46 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | $28.06 |
| 90686 | <1% | 882 | $25.23 | |
| 99000 | <1% | 1,684 | $1.82 | |
| A4250 | Urine test or reagent strips or tablets (100 tablets or strips) | <1% | 5,805 | $0.08 |
| 90723 | <1% | 15 | $0.01 | |
| 90710 | 0% | 133 | $0.00 | |
| A4206 | Syringe with needle, sterile, 1 cc or less, each | 0% | 3,894 | $0.00 |
| 99072 | 0% | 1,142 | $0.00 | |
| A4215 | Needle, sterile, any size, each | 0% | 5,661 | $0.00 |
| A4657 | Syringe, with or without needle, each | 0% | 69 | $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 officialWRIGHT, MONICA (CHIEF MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Adfinitas Health at Up Marquette, PLLC | Marquette, MI | $891K |
| Adfinitas Health at Fauquier, LLC | Warrenton, VA | $49K |
| Adfinitas Rehabilitative Services of Virginia, LLC | Warrenton, VA | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.