Clinic
Kidzcare Pediatrics, PLLC
Kidzcare Pediatrics, PLLC was paid $12.52M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoKIDZCARE PEDIATRICS, PLLC
ATHENS, TN 37303
ATHENS, TN 37303
33aNPI1679805493assigned 02/03/2010
33bProvider typeRural Health Clinic/Center
28Total paid$12.52M
24GClaims450,106
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Tennessee
Rank by total paid#1 of 96
Median peer was paid$127K
This provider vs. median99×
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 | 50,179 | $1.27M | |
| 2019 | 55,589 | $1.48M | |
| 2020 | 48,399 | $1.38M | |
| 2021 | 67,472 | $1.95M | |
| 2022 | 83,635 | $2.37M | |
| 2023 | 82,808 | $2.30M | |
| 2024incomplete | 62,024 | $1.79M |
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 | 44% | 119,151 | 103,109 | $5.52M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.5% | 39,153 | 19,153 | $1.06M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.4% | 12,039 | 11,351 | $926K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.6% | 28,746 | 22,471 | $705K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 9,171 | 8,659 | $692K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.0% | 9,230 | 8,744 | $630K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.6% | 14,518 | 13,434 | $447K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.0% | 7,811 | 7,349 | $376K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 4,151 | 3,864 | $342K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.3% | 5,053 | 3,511 | $283K |
| 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 | 2.0% | 3,608 | 3,403 | $250K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 17,440 | 16,239 | $172K |
58 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 12,585 | $143K |
| 99177 | 1.1% | 22,056 | $141K | |
| 99381 | <1% | 1,569 | $125K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14,476 | $106K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 5,957 | $97K |
| 92558 | <1% | 20,313 | $87K | |
| 85018 | <1% | 23,876 | $50K | |
| 83655 | <1% | 4,221 | $47K | |
| 81003 | <1% | 19,307 | $35K | |
| 96161 | <1% | 2,238 | $32K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,447 | $31K |
| 86318 | <1% | 1,716 | $29K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 266 | $28K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 359 | $26K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 360 | $19K |
| 95117 | <1% | 1,384 | $17K | |
| 90651 | <1% | 1,987 | $15K | |
| 99383 | <1% | 111 | $10K | |
| 90734 | <1% | 1,634 | $10K | |
| 71045 | Radiologic examination, chest; single view | <1% | 551 | $8K |
| 90620 | <1% | 593 | $7K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 3,723 | $7K |
| 90716 | <1% | 3,065 | $6K | |
| 99382 | <1% | 62 | $5K | |
| 90670 | <1% | 5,236 | $5K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 266 | $5K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 96 | $4K |
| 90707 | <1% | 3,090 | $4K | |
| 90677 | <1% | 1,078 | $3K | |
| 17110 | <1% | 29 | $2K | |
| 90723 | <1% | 4,796 | $2K | |
| 90681 | <1% | 2,316 | $1K | |
| 90686 | <1% | 2,889 | $1K | |
| 86308 | <1% | 346 | $1K | |
| 99460 | <1% | 27 | $1K | |
| 90633 | <1% | 3,221 | $1K | |
| 0072A | <1% | 37 | $1K | |
| 90715 | <1% | 775 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | $911.77 |
| 90696 | <1% | 958 | $900.87 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $773.12 |
| 90648 | <1% | 7,151 | $729.39 | |
| 0071A | <1% | 29 | $675.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 449 | $353.93 |
| 74018 | <1% | 18 | $326.24 | |
| 99462 | <1% | 12 | $324.67 | |
| 90700 | <1% | 865 | $264.51 | |
| 90671 | <1% | 728 | $250.00 | |
| 81002 | <1% | 122 | $208.01 | |
| 81025 | <1% | 34 | $164.71 | |
| 90685 | 0% | 150 | $0.00 | |
| 90661 | 0% | 26 | $0.00 | |
| 91300 | 0% | 27 | $0.00 | |
| 90621 | 0% | 14 | $0.00 | |
| 90687 | 0% | 12 | $0.00 | |
| 90697 | 0% | 254 | $0.00 | |
| 91307 | 0% | 79 | $0.00 | |
| 90688 | 0% | 20 | $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 officialGOPINATHAN, SAJI (OWNER/PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Kidzcare Pediatrics, PLLC | Madisonville, TN | $458K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.