Physician
Franklin Pediatric Clinic, PLLC
Franklin Pediatric Clinic, PLLC was paid $98K by Medicaid between Nov 2022 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoFRANKLIN PEDIATRIC CLINIC, PLLC
FRANKLIN, TN 37067
FRANKLIN, TN 37067
33aNPI1629702782assigned 07/14/2022
33bProvider typePediatrics Physician
28Total paid$98K
24GClaims3,938
24DCodes billed16
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#184 of 333
Median peer was paid$139K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2022 | 374 | $4K | |
| 2023 | 2,054 | $49K | |
| 2024incomplete | 1,510 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45% | 1,222 | 892 | $44K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 19% | 562 | 454 | $18K |
| 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 | 11% | 189 | 148 | $10K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.6% | 400 | 347 | $6K |
| 92552 | 5.1% | 284 | 231 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 71 | 59 | $5K |
| 99177 | 2.7% | 500 | 400 | $3K | |
| 87428 | 1.9% | 31 | 28 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 20 | 14 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 12 | 12 | $985.80 |
| 96127 | <1% | 196 | 165 | $751.49 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 21 | 18 | $700.54 |
4 more codes
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 officialSHETTY, SHASHIREKHA (OWNER/DIRECTOR/MD)