Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Pedforall

Pedforall was paid $748K by Medicaid between Oct 2019 and Nov 2024, across 12 billing codes. Its largest line is 99238, Hospital discharge day management, 30 minutes or less — 32% of everything it billed.

33Billing provider infoPEDFORALL
BRENTWOOD, TN 37027
33aNPI1508107376assigned 03/04/2013
28Total paid$748K
24GClaims16,885
24DCodes billed12
24AFirst – last monthOct 2019 – Nov 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Tennessee

Rank by total paid#25 of 687
Median peer was paid$15K
This provider vs. median51×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
201934$1K
20201,129$44K
20212,803$143K
20224,242$171K
20234,781$211K
2024incomplete3,896$177K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99238 Hospital discharge day management, 30 minutes or less 32% 5,474 4,900 $241K
99460 26% 4,838 4,421 $196K
54150 20% 1,901 1,767 $153K
99462 9.8% 3,465 2,552 $73K
99464 5.5% 918 792 $41K
99468 2.4% 42 29 $18K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 1.5% 62 13 $11K
99239 Hospital discharge day management, more than 30 minutes <1% 112 100 $7K
99477 <1% 15 15 $4K
99223 Prolong inpt eval add15 m <1% 27 24 $3K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 17 13 $1K
99463 <1% 14 12 $660.10

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/PROVIDER)
Same official

Other billing entities under HUGHES, MARK

Full network →
ProviderLocationPaid
Grace Pediatrics PLLCSmyrna, TN$12.08M

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