Clinic
Goodwin Childrens Clinic, PLC
Goodwin Childrens Clinic, PLC was paid $2.33M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoGOODWIN CHILDRENS CLINIC, PLC
LEXINGTON, TN 38351
LEXINGTON, TN 38351
33aNPI1548515638assigned 07/16/2012
33bProvider typePrimary Care Clinic/Center
28Total paid$2.33M
24GClaims75,099
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Tennessee
Rank by total paid#10 of 139
Median peer was paid$101K
This provider vs. median23×
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 | 4,314 | $89K | |
| 2019 | 5,962 | $182K | |
| 2020 | 6,014 | $244K | |
| 2021 | 11,501 | $376K | |
| 2022 | 14,763 | $454K | |
| 2023 | 18,615 | $542K | |
| 2024incomplete | 13,930 | $438K |
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 | 37% | 16,225 | 14,052 | $851K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 11,397 | 9,641 | $395K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.9% | 4,724 | 4,092 | $206K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 6.9% | 4,622 | 4,068 | $161K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.7% | 2,132 | 1,942 | $133K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.9% | 7,129 | 4,675 | $114K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.5% | 9,617 | 7,969 | $104K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.9% | 1,602 | 1,430 | $90K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.5% | 1,795 | 1,458 | $57K |
| 87430 | 1.8% | 4,108 | 3,813 | $43K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.2% | 323 | 282 | $28K |
| 87631 | 1.2% | 228 | 163 | $27K |
35 more codes
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.0% | 524 | $24K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 354 | $20K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 431 | $16K |
| 87807 | <1% | 1,526 | $15K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 511 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 571 | $9K |
| 87428 | <1% | 138 | $7K | |
| 99173 | <1% | 655 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 36 | $2K |
| 90461 | <1% | 3,349 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 44 | $2K |
| 92587 | <1% | 72 | $1K | |
| 90670 | <1% | 919 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 30 | $973.29 |
| 92558 | <1% | 82 | $274.89 | |
| 90677 | <1% | 70 | $253.21 | |
| 83655 | <1% | 15 | $247.79 | |
| 81003 | <1% | 136 | $231.48 | |
| 90671 | <1% | 75 | $222.55 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 87 | $186.10 |
| 90680 | <1% | 277 | $137.68 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 76 | $135.42 |
| 90686 | <1% | 162 | $122.63 | |
| 96127 | <1% | 33 | $105.82 | |
| 86756 | <1% | 198 | $92.80 | |
| 90698 | <1% | 409 | $61.05 | |
| 36416 | <1% | 15 | $46.90 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 16 | $6.27 |
| 90633 | <1% | 53 | $0.01 | |
| 90707 | <1% | 13 | $0.01 | |
| 90716 | <1% | 13 | $0.01 | |
| 90685 | 0% | 16 | $0.00 | |
| 90744 | 0% | 95 | $0.00 | |
| 3008F | 0% | 147 | $0.00 | |
| 90697 | 0% | 49 | $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 officialGOODWIN, MARY (NURSE PRACTITIONER/OWNER)