Physician
Hamblen Pediatric Associates, INC
Hamblen Pediatric Associates, INC was paid $558K by Medicaid between Jan 2018 and Mar 2018, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoHAMBLEN PEDIATRIC ASSOCIATES, INC
MORRISTOWN, TN 37813
MORRISTOWN, TN 37813
33aNPI1679668388assigned 10/04/2006
33bProvider typePediatrics Physician
28Total paid$558K
24GClaims22,178
24DCodes billed38
24AFirst – last monthJan 2018 – Mar 2018
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#98 of 333
Median peer was paid$139K
This provider vs. median4.0×
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 | 22,178 | $558K |
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 | 47% | 5,367 | 4,758 | $260K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 915 | 877 | $69K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 863 | 821 | $60K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.7% | 2,506 | 1,172 | $32K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.1% | 1,646 | 1,564 | $23K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.5% | 1,022 | 969 | $20K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.3% | 1,454 | 1,342 | $18K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.9% | 502 | 484 | $16K |
| 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 | 2.7% | 213 | 200 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 322 | 294 | $10K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 501 | 466 | $5K |
| 99177 | <1% | 528 | 503 | $4K |
26 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 60 | $4K |
| 96161 | <1% | 402 | $4K | |
| 94760 | <1% | 795 | $3K | |
| 90474 | <1% | 332 | $3K | |
| 87081 | <1% | 484 | $3K | |
| 83655 | <1% | 156 | $2K | |
| 99381 | <1% | 27 | $2K | |
| 92551 | <1% | 173 | $1K | |
| 36416 | <1% | 709 | $1K | |
| 96127 | <1% | 183 | $851.86 | |
| 88720 | <1% | 130 | $687.02 | |
| 99173 | <1% | 14 | $97.95 | |
| 90707 | 0% | 27 | $0.00 | |
| 90685 | 0% | 90 | $0.00 | |
| 90670 | 0% | 661 | $0.00 | |
| 90700 | 0% | 14 | $0.00 | |
| 90633 | 0% | 177 | $0.00 | |
| 99051 | 0% | 138 | $0.00 | |
| 90687 | 0% | 26 | $0.00 | |
| 90680 | 0% | 356 | $0.00 | |
| 99000 | 0% | 637 | $0.00 | |
| 90698 | 0% | 373 | $0.00 | |
| 90686 | 0% | 160 | $0.00 | |
| 90716 | 0% | 27 | $0.00 | |
| 90744 | 0% | 174 | $0.00 | |
| 90647 | 0% | 14 | $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 officialPENDLAND, PATRICIA (PRACTICE MANAGER)