Physician
Pediatrix Medical Group of Tennessee, P.C.
Pediatrix Medical Group of Tennessee, P.C. was paid $32.29M by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 24% of everything it billed.
33Billing provider infoPEDIATRIX MEDICAL GROUP OF TENNESSEE, P.C.
NASHVILLE, TN 37203
NASHVILLE, TN 37203
33aNPI1497852107assigned 09/17/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$32.29M
24GClaims473,049
24DCodes billed75
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Tennessee
Rank by total paid#1 of 176
Median peer was paid$39K
This provider vs. median822×
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 | 74,818 | $5.78M | |
| 2019 | 61,073 | $3.84M | |
| 2020 | 64,283 | $4.26M | |
| 2021 | 67,737 | $4.40M | |
| 2022 | 77,385 | $4.79M | |
| 2023 | 79,740 | $5.70M | |
| 2024incomplete | 48,013 | $3.53M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 24% | 27,201 | 8,718 | $7.81M |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 17% | 63,489 | 18,732 | $5.61M |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 15% | 55,703 | 20,050 | $4.89M |
| 92586 | 6.8% | 61,219 | 56,066 | $2.18M | |
| 99238 | Hospital discharge day management, 30 minutes or less | 5.5% | 35,908 | 32,498 | $1.79M |
| 99460 | 4.9% | 32,405 | 29,545 | $1.58M | |
| 92650 | 4.7% | 65,046 | 60,508 | $1.50M | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.9% | 13,545 | 11,109 | $610K |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.4% | 9,302 | 4,775 | $443K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.3% | 2,462 | 2,103 | $435K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 1.3% | 3,508 | 3,033 | $428K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.1% | 8,869 | 7,953 | $367K |
63 more codes
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.0% | 2,811 | $330K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 1.0% | 1,114 | $327K |
| 93325 | <1% | 6,545 | $313K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 4,908 | $303K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 6,888 | $280K |
| 99284 | Emergency room visit (serious) | <1% | 4,421 | $273K |
| 54150 | <1% | 2,245 | $269K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 4,788 | $238K |
| 99462 | <1% | 9,685 | $236K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 3,081 | $221K |
| 99468 | <1% | 237 | $154K | |
| 76801 | <1% | 2,611 | $150K | |
| 93320 | <1% | 3,510 | $146K | |
| 59410 | <1% | 165 | $103K | |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 96 | $102K |
| 76830 | Ultrasound, transvaginal | <1% | 2,266 | $94K |
| 93304 | <1% | 971 | $81K | |
| 76820 | <1% | 2,139 | $80K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 887 | $79K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,111 | $73K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,183 | $69K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 2,362 | $59K |
| 93000 | <1% | 3,422 | $59K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 637 | $54K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 673 | $47K |
| 93321 | <1% | 1,637 | $42K | |
| 99463 | <1% | 660 | $41K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 1,096 | $40K |
| 99464 | <1% | 683 | $39K | |
| 59025 | Fetal non-stress test | <1% | 1,901 | $39K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 4,848 | $36K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,343 | $33K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 656 | $30K |
| 99242 | <1% | 486 | $30K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,392 | $29K |
| 99217 | <1% | 476 | $26K | |
| 59426 | <1% | 86 | $25K | |
| 99219 | <1% | 224 | $20K | |
| 99243 | <1% | 196 | $18K | |
| 99477 | <1% | 67 | $17K | |
| 76818 | <1% | 578 | $15K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 70 | $8K |
| 81025 | <1% | 1,762 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 256 | $4K |
| 87210 | <1% | 1,105 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 38 | $3K |
| 0500F | <1% | 762 | $2K | |
| 99385 | <1% | 32 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 20 | $2K |
| 93308 | <1% | 29 | $2K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 13 | $920.78 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 37 | $517.09 |
| 99251 | <1% | 17 | $485.09 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $409.23 |
| 94010 | <1% | 13 | $340.62 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 127 | $202.62 |
| 82950 | <1% | 141 | $176.87 | |
| 94664 | <1% | 13 | $162.81 | |
| 0503F | <1% | 492 | $1.35 | |
| 0501F | 0% | 173 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 256 | $0.00 |
| 3008F | 0% | 20 | $0.00 | |
| 0502F | 0% | 3,918 | $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 officialASHFORD, MICHAEL (ASSISTANT SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Pediatrix Medical Group of Louisiana, L.L.C. | Richardson, TX | $6.20M |
| Magella Medical Associates Midwest PC | Sunrise, FL | $4.27M |
| Pediatrix Medical Group of Missouri, P.C. | Saint Louis, MO | $3.93M |
| Pediatrix Cardiology of Springfield PC | Sunrise, FL | $2.69M |
| Pediatrix Medical Group of Kentucky PSC | Lexington, KY | $1.35M |
| Ozark Neonatal Associates, INC. | Springfield, MO | $1.32M |
| Pediatrix Medical Group Ambulatory Services of TN, PLLC | Sunrise, FL | $742K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.