Martin Pediatric and Adolescent Clinic, PC

Martin Pediatric and Adolescent Clinic, PC was paid $137K by Medicaid between Jun 2020 and Mar 2021, across 21 billing codes. Its largest line is 96110, Developmental screening, with scoring and documentation, per standardized instrument — 22% of everything it billed.

33Billing provider infoMARTIN PEDIATRIC AND ADOLESCENT CLINIC, PC
MARTIN, TN 38237

33aNPI1649314501assigned 02/16/2007

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$137K

24GClaims4,122

24DCodes billed21

24AFirst – last monthJun 2020 – Mar 2021

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Tennessee

Rank by total paid#12 of 16

Median peer was paid$236K

This provider vs. median0.6×

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
2020	2,849	$98K
2021	1,273	$39K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
96110	Developmental screening, with scoring and documentation, per standardized instrument	22%	746	479	$30K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	21%	464	394	$29K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	594	547	$25K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	13%	246	240	$17K
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	12%	245	232	$16K
90472	Immunization administration, each additional vaccine (list separately)	4.9%	347	333	$7K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.5%	471	457	$5K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.4%	46	46	$3K
99460		<1%	27	26	$1K
99238	Hospital discharge day management, 30 minutes or less	<1%	27	25	$1K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	91	90	$910.94
90670		<1%	257	249	$807.21

9 more codes

87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	40	$605.60
90716		<1%	42	$460.00
90707		<1%	45	$417.48
36416		<1%	62	$178.39
90633		<1%	34	$129.22
90647		<1%	153	$34.80
90685		<1%	48	$23.79
90723		0%	111	$0.00
90688		0%	26	$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 officialROBERTS, BARBARA (OFFICE MANAGER)