Physician
Mendez, David
Mendez, David was paid $98K by Medicaid between Jan 2018 and Nov 2020, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoMENDEZ, DAVID
SEYMOUR, TN 37865
SEYMOUR, TN 37865
33aNPI1659316677assigned 06/17/2006
33bProvider typePediatrics Physician
28Total paid$98K
24GClaims3,844
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#183 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 | |
|---|---|---|---|
| 2018 | 858 | $25K | |
| 2019 | 1,536 | $39K | |
| 2020 | 1,450 | $35K |
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% | 1,225 | 1,062 | $45K |
| 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 | 20% | 358 | 331 | $19K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 583 | 319 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.6% | 224 | 201 | $7K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 4.0% | 105 | 96 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.6% | 382 | 346 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 37 | 36 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 116 | 111 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.4% | 21 | 17 | $1K |
| 36416 | 1.0% | 367 | 330 | $994.29 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 76 | 34 | $972.16 |
| 92552 | <1% | 35 | 35 | $499.29 |
8 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $436.49 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 37 | $320.88 |
| 99177 | <1% | 30 | $301.08 | |
| 92551 | <1% | 50 | $277.13 | |
| 99173 | <1% | 25 | $159.84 | |
| 90461 | 0% | 102 | $0.00 | |
| 90686 | 0% | 37 | $0.00 | |
| 90688 | 0% | 19 | $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.