Whitehaven Pediatrics INC.
Whitehaven Pediatrics INC. was paid $1.19M by Medicaid between Jan 2018 and Dec 2021, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 22% of everything it billed.
33Billing provider infoWHITEHAVEN PEDIATRICS INC.
MEMPHIS, TN 38116
MEMPHIS, TN 38116
33aNPI1548301682assigned 02/10/2007
33bProvider typeLegal Medicine
28Total paid$1.19M
24GClaims43,885
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Legal Medicine providers in Tennessee
Rank by total paid#3 of 16
Median peer was paid$110K
This provider vs. median11×
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 | 13,652 | $412K | |
| 2019 | 16,825 | $507K | |
| 2020 | 7,849 | $152K | |
| 2021 | 5,559 | $121K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 22% | 3,826 | 3,291 | $266K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 3,804 | 3,189 | $139K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 3,766 | 3,048 | $128K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.7% | 1,568 | 1,406 | $116K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.7% | 1,443 | 1,234 | $103K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.9% | 1,147 | 1,031 | $94K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.7% | 3,173 | 2,745 | $91K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.1% | 1,027 | 866 | $61K |
| 99205 | Prolong outpt/office vis | 4.3% | 406 | 374 | $51K |
| 92587 | 1.9% | 634 | 476 | $22K | |
| 92015 | Determination of refractive state | 1.6% | 853 | 718 | $19K |
| 85014 | 1.2% | 5,045 | 4,437 | $14K |
34 more codes
| 81000 | 1.1% | 3,582 | $13K | |
| 94762 | 1.1% | 686 | $13K | |
| 99381 | <1% | 147 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 426 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 626 | $8K |
| 92552 | <1% | 347 | $7K | |
| 92558 | <1% | 1,053 | $6K | |
| 96127 | <1% | 1,159 | $5K | |
| 92551 | <1% | 632 | $5K | |
| 99173 | <1% | 405 | $4K | |
| 92567 | <1% | 201 | $3K | |
| 99383 | <1% | 22 | $2K | |
| 90658 | <1% | 103 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $459.66 |
| 94760 | <1% | 152 | $376.72 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 19 | $221.40 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 19 | $202.40 |
| 90633 | <1% | 691 | $20.00 | |
| 90680 | 0% | 497 | $0.00 | |
| 99000 | 0% | 1,128 | $0.00 | |
| 90723 | 0% | 550 | $0.00 | |
| 90696 | 0% | 159 | $0.00 | |
| 90716 | 0% | 583 | $0.00 | |
| 90698 | 0% | 224 | $0.00 | |
| 90620 | 0% | 30 | $0.00 | |
| 90670 | 0% | 1,254 | $0.00 | |
| 90648 | 0% | 620 | $0.00 | |
| 90734 | 0% | 419 | $0.00 | |
| 90707 | 0% | 557 | $0.00 | |
| 90649 | 0% | 522 | $0.00 | |
| 90700 | 0% | 27 | $0.00 | |
| 90461 | 0% | 126 | $0.00 | |
| 90710 | 0% | 30 | $0.00 | |
| 90715 | 0% | 185 | $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 officialSPRAGLING, CARLOS (MANAGEMENT)