Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TN › NASHVILLE › PEDIATRIX MEDICAL GROUP OF TENNESSEE, P.C.

PEDIATRIX MEDICAL GROUP OF TENNESSEE, P.C.

NPI: 1497852107 · NASHVILLE, TN 37203 · Obstetrics & Gynecology Physician · NPI assigned 09/17/2006

$32.29M
Total Medicaid Paid
473,049
Total Claims
330,378
Beneficiaries
75
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialASHFORD, MICHAEL (ASSISTANT SECRETARY)
NPI Enumeration Date09/17/2006

Related Entities

Other providers sharing the same authorized official: ASHFORD, MICHAEL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 48,013 $3.53M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 27,201 8,718 $7.81M
99479 Subsequent intensive care, per day, very low birth weight infant 63,489 18,732 $5.61M
99480 Subsequent intensive care, per day, low birth weight infant 55,703 20,050 $4.89M
92586 61,219 56,066 $2.18M
99238 Hospital discharge day management, 30 minutes or less 35,908 32,498 $1.79M
99460 32,405 29,545 $1.58M
92650 65,046 60,508 $1.50M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 13,545 11,109 $610K
76819 Fetal biophysical profile; without non-stress testing 9,302 4,775 $443K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,462 2,103 $435K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 3,508 3,033 $428K
99283 Emergency department visit for the evaluation and management, moderate severity 8,869 7,953 $367K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,811 2,431 $330K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 1,114 241 $327K
93325 6,545 5,393 $313K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 4,908 4,368 $303K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,888 5,346 $280K
99284 Emergency department visit for the evaluation and management, high severity 4,421 3,769 $273K
54150 2,245 2,070 $269K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 4,788 3,741 $238K
99462 9,685 7,486 $236K
99239 Hospital discharge day management, more than 30 minutes 3,081 2,797 $221K
99468 237 213 $154K
76801 2,611 2,339 $150K
93320 3,510 3,030 $146K
59410 165 134 $103K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 96 75 $102K
76830 Ultrasound, transvaginal 2,266 2,044 $94K
93304 971 780 $81K
76820 2,139 921 $80K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 887 709 $79K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,111 964 $73K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,183 950 $69K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,362 2,169 $59K
93000 3,422 2,926 $59K
99222 Initial hospital care, per day, moderate complexity 637 563 $54K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 673 606 $47K
93321 1,637 1,317 $42K
99463 660 609 $41K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,096 878 $40K
99464 683 659 $39K
59025 Fetal non-stress test 1,901 1,101 $39K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,848 4,511 $36K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,343 978 $33K
99232 Subsequent hospital care, per day, moderate complexity 656 391 $30K
99242 486 406 $30K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,392 409 $29K
99217 476 435 $26K
59426 86 70 $25K
99219 224 193 $20K
99243 196 182 $18K
99477 67 65 $17K
76818 578 251 $15K
99244 Office or other outpatient consultation, moderate to high complexity 70 59 $8K
81025 1,762 1,358 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 256 222 $4K
87210 1,105 873 $3K
99215 Prolong outpt/office vis 38 29 $3K
0500F 762 593 $2K
99385 32 32 $2K
99205 Prolong outpt/office vis 20 15 $2K
93308 29 17 $2K
99233 Prolong inpt eval add15 m 13 12 $920.78
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 37 31 $517.09
99251 17 14 $485.09
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 12 $409.23
94010 13 13 $340.62
36415 Collection of venous blood by venipuncture 127 87 $202.62
82950 141 86 $176.87
94664 13 12 $162.81
0503F 492 443 $1.35
0501F 173 157 $0.00
H0049 Alcohol and/or drug screening 256 161 $0.00
3008F 20 12 $0.00
0502F 3,918 2,530 $0.00