Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COOKEVILLE PEDIATRIC ASSOCIATES, PLLC

NPI: 1538173471 · COOKEVILLE, TN 38501 · Pediatrics Physician · NPI assigned 07/28/2006

$5.01M
Total Medicaid Paid
171,763
Total Claims
147,929
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFRANKLIN, LLOYD (OWNER/PHYSICIAN)
NPI Enumeration Date07/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 42,146 $1.03M
2019 45,634 $1.17M
2020 19,253 $570K
2021 17,682 $622K
2022 18,921 $647K
2023 15,420 $539K
2024 12,707 $424K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38,805 34,875 $1.60M
90460 Immunization administration through 18 years of age via any route, first or only component 13,094 11,401 $533K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,013 6,554 $496K
96110 Developmental screening, with scoring and documentation, per standardized instrument 12,858 10,494 $421K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,134 4,665 $352K
87428 5,743 5,427 $341K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,948 3,595 $257K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,997 3,503 $252K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14,267 13,356 $170K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 9,938 4,601 $103K
92587 2,850 2,582 $89K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,451 2,204 $67K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 748 667 $57K
99177 5,884 5,379 $51K
96127 6,740 4,418 $27K
96160 1,049 943 $26K
99050 1,315 1,249 $23K
3008F 4,927 4,364 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,592 1,553 $20K
87807 1,239 1,176 $16K
83655 766 671 $10K
90670 2,823 2,507 $10K
90461 6,716 5,808 $9K
90710 288 254 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 210 201 $7K
36416 3,122 2,749 $7K
96161 295 207 $6K
90698 3,013 2,659 $5K
90651 169 136 $5K
90688 3,378 3,108 $3K
87420 1,501 1,366 $3K
99381 30 27 $2K
85018 843 739 $2K
90633 840 767 $2K
90734 48 38 $1K
80061 Lipid panel 39 28 $639.16
81003 366 327 $533.75
90680 1,460 1,276 $443.43
90696 99 81 $412.35
90744 549 511 $187.81
90658 132 107 $122.00
82947 16 12 $56.42
85007 43 40 $29.72
90686 177 166 $22.25
90716 361 331 $0.00
94760 33 26 $0.00
90677 52 25 $0.00
90707 373 342 $0.00
90687 411 402 $0.00
90715 18 12 $0.00