Cleveland Pediatrics,p.C.

Cleveland Pediatrics,p.C. was paid $11.75M by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.

33Billing provider infoCLEVELAND PEDIATRICS,P.C.
CLEVELAND, TN 37311

33aNPI1609046267assigned 03/10/2008

33bProvider typePediatrics Physician

28Total paid$11.75M

24GClaims580,884

24DCodes billed82

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Tennessee

Rank by total paid#8 of 333

Median peer was paid$139K

This provider vs. median84×

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	92,887	$1.67M
2019	95,241	$1.84M
2020	90,888	$1.53M
2021	87,230	$1.55M
2022	79,887	$1.87M
2023	69,594	$1.73M
2024incomplete	65,157	$1.56M

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	23%	39,259	35,602	$2.65M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	40,195	37,934	$1.84M
90460	Immunization administration through 18 years of age via any route, first or only component	12%	31,517	28,447	$1.44M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	12%	20,616	18,669	$1.37M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	9.5%	15,142	14,178	$1.12M
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.8%	11,150	9,746	$795K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.1%	4,724	4,070	$370K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.1%	24,038	22,440	$246K
99401		1.9%	11,697	9,859	$219K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.7%	8,003	5,912	$197K
96161		1.6%	12,854	11,638	$194K
87428		1.4%	2,713	2,618	$159K

70 more codes

87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.3%	12,173	$151K
80061	Lipid panel	<1%	6,279	$78K
99177		<1%	11,128	$70K
83655		<1%	5,470	$64K
99238	Hospital discharge day management, 30 minutes or less	<1%	1,144	$59K
99460		<1%	1,143	$59K
96160		<1%	4,677	$59K
85018		<1%	25,199	$51K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	5,574	$44K
36416		<1%	32,374	$44K
1160F		<1%	36,948	$42K
1159F		<1%	35,554	$42K
92558		<1%	5,533	$35K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	3,658	$30K
92551		<1%	3,883	$30K
87081		<1%	7,766	$27K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	1,629	$20K
3008F		<1%	22,396	$17K
3074F		<1%	12,043	$16K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	548	$16K
3078F		<1%	11,941	$16K
90670		<1%	10,391	$16K
87807		<1%	1,527	$15K
96127		<1%	3,541	$15K
90461		<1%	20,299	$14K
90651		<1%	1,528	$13K
81001		<1%	5,405	$13K
88738		<1%	2,470	$10K
99381		<1%	141	$10K
92081		<1%	255	$9K
90716		<1%	3,762	$8K
90698		<1%	7,750	$5K
90707		<1%	3,314	$4K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	233	$4K
90680		<1%	7,842	$4K
90686		<1%	7,847	$4K
96380		<1%	172	$4K
99173		<1%	687	$3K
90677		<1%	2,049	$3K
90619		<1%	550	$3K
J0558	Injection, penicillin g benzathine and penicillin g procaine, 100,000 units	<1%	12	$2K
90633		<1%	4,564	$2K
90734		<1%	345	$2K
90697		<1%	1,723	$1K
90480		<1%	35	$1K
99383		<1%	14	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	63	$1K
99462		<1%	35	$772.46
90744		<1%	5,123	$670.11
92587		<1%	13	$557.32
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	14	$489.57
90715		<1%	228	$435.89
90696		<1%	301	$402.31
36415	Collection of venous blood by venipuncture	<1%	84	$166.55
99051		<1%	51	$151.68
91321		<1%	27	$147.25
90700		<1%	222	$138.35
90656		<1%	314	$100.90
3079F		<1%	34	$80.00
90648		<1%	213	$57.16
99072		<1%	13,140	$4.94
99000		<1%	3,163	$3.95
90661		<1%	216	$0.28
90380		<1%	45	$0.06
90381		<1%	33	$0.04
90674		0%	407	$0.00
3048F		0%	1,255	$0.00
90688		0%	46	$0.00
90620		0%	18	$0.00
90685		0%	415	$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 officialOWNBY, EVA (PRACTICE MANAGER)