Chattanooga Children's Clinic, PLLC

Chattanooga Children's Clinic, PLLC was paid $8.40M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.

33Billing provider infoCHATTANOOGA CHILDREN'S CLINIC, PLLC
CHATTANOOGA, TN 37411

33aNPI1497095772assigned 02/22/2013

33bProvider typePediatrics Physician

28Total paid$8.40M

24GClaims443,514

24DCodes billed68

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Tennessee

Rank by total paid#13 of 333

Median peer was paid$139K

This provider vs. median60×

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	45,058	$947K
2019	66,065	$1.31M
2020	63,256	$1.00M
2021	56,692	$1.08M
2022	73,403	$1.33M
2023	65,561	$1.36M
2024incomplete	73,479	$1.37M

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%	54,398	41,191	$2.16M
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	14%	19,822	15,174	$1.21M
90460	Immunization administration through 18 years of age via any route, first or only component	12%	29,047	20,121	$972K
96110	Developmental screening, with scoring and documentation, per standardized instrument	8.5%	45,049	30,066	$717K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	8.0%	11,336	7,916	$671K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	7.9%	11,713	7,382	$663K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	5.5%	8,892	6,501	$465K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	4.5%	6,192	3,810	$381K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.4%	9,154	6,291	$205K
92551		1.5%	23,180	14,278	$126K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	1.5%	3,177	2,421	$123K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.3%	22,119	14,688	$112K

56 more codes

87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.2%	13,322	$104K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	6,410	$55K
99173		<1%	16,791	$53K
G0315	Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt)	<1%	897	$33K
81002		<1%	20,287	$31K
99401		<1%	2,407	$28K
36416		<1%	31,612	$27K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	1,610	$24K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	2,986	$23K
99203	Doctor's office visit, new patient (routine)	<1%	333	$20K
3008F		<1%	24,832	$19K
90651		<1%	2,197	$18K
90677		<1%	1,008	$18K
99204	Doctor's office visit, new patient (more involved)	<1%	153	$17K
96127		<1%	4,807	$16K
85018		<1%	10,296	$13K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	524	$13K
90670		<1%	6,057	$9K
99383		<1%	115	$8K
90716		<1%	3,428	$7K
90734		<1%	1,647	$7K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	162	$5K
99381		<1%	165	$5K
96161		<1%	1,746	$5K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	299	$4K
90707		<1%	3,357	$4K
90723		<1%	4,997	$3K
99382		<1%	45	$3K
87807		<1%	376	$3K
90681		<1%	2,348	$3K
90686		<1%	9,587	$2K
96160		<1%	743	$2K
99384		<1%	24	$2K
92552		<1%	117	$1K
90715		<1%	487	$1K
99238	Hospital discharge day management, 30 minutes or less	<1%	24	$958.58
90633		<1%	2,739	$926.41
99188		<1%	1,144	$841.02
99460		<1%	20	$696.95
90648		<1%	6,707	$637.81
90620		<1%	297	$627.44
90696		<1%	593	$547.12
94664		<1%	52	$525.51
90672		<1%	277	$336.52
99050		<1%	17	$320.56
36415	Collection of venous blood by venipuncture	<1%	241	$292.27
90473		<1%	474	$248.95
82270		<1%	76	$112.74
99177		<1%	47	$107.82
81025		<1%	23	$72.43
90685		<1%	238	$61.42
90700		<1%	255	$33.33
90461		<1%	35	$11.26
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	228	$9.78
94760		<1%	60	$6.28
99000		<1%	9,716	$5.00

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 officialMEMON, ZARA (OWNER)