NP / PA
Pediatric Associates of West Tennessee PLLC
Pediatric Associates of West Tennessee PLLC was paid $2.24M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES OF WEST TENNESSEE PLLC
DYERSBURG, TN 38024
DYERSBURG, TN 38024
33aNPI1679929285assigned 05/12/2016
33bProvider typePediatric Nurse Practitioner
28Total paid$2.24M
24GClaims90,683
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Tennessee
Rank by total paid#5 of 70
Median peer was paid$60K
This provider vs. median37×
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 | 11,787 | $298K | |
| 2019 | 11,815 | $337K | |
| 2020 | 9,845 | $293K | |
| 2021 | 12,341 | $371K | |
| 2022 | 13,376 | $345K | |
| 2023 | 12,435 | $285K | |
| 2024incomplete | 19,084 | $309K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 34% | 13,123 | 11,724 | $757K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 13,938 | 12,410 | $533K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 12,034 | 6,952 | $315K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 3,589 | 3,353 | $234K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.1% | 2,258 | 2,136 | $136K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 2,130 | 1,951 | $53K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 681 | 632 | $43K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 2,956 | 2,785 | $28K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 2,381 | 2,100 | $25K |
| 92551 | <1% | 2,560 | 2,359 | $16K | |
| 99173 | <1% | 2,941 | 2,716 | $13K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,847 | 1,498 | $11K |
35 more codes
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 1,989 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 857 | $10K |
| G0451 | Development testing, with interpretation and report, per standardized instrument form | <1% | 1,420 | $9K |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 1,147 | $7K |
| 96160 | <1% | 2,871 | $7K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 974 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,526 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 399 | $4K |
| 90461 | <1% | 4,998 | $3K | |
| 96127 | <1% | 738 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 198 | $2K |
| 90670 | <1% | 2,067 | $2K | |
| 90698 | <1% | 2,128 | $2K | |
| 36416 | <1% | 595 | $878.80 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $866.57 |
| 94760 | <1% | 1,187 | $793.17 | |
| 96161 | <1% | 165 | $779.08 | |
| 90686 | <1% | 2,004 | $590.38 | |
| 90680 | <1% | 599 | $419.64 | |
| 90716 | <1% | 316 | $378.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 62 | $326.33 |
| 90707 | <1% | 318 | $270.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 57 | $226.47 |
| 90651 | <1% | 49 | $177.70 | |
| 99051 | <1% | 38 | $90.99 | |
| G0008 | Administration of influenza virus vaccine | <1% | 266 | $41.96 |
| 90744 | <1% | 339 | $25.16 | |
| 81003 | <1% | 12 | $16.02 | |
| 99000 | <1% | 1,178 | $3.44 | |
| 90671 | <1% | 112 | $0.18 | |
| G0010 | Administration of hepatitis b vaccine | 0% | 26 | $0.00 |
| 90696 | 0% | 46 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 131 | $0.00 |
| 90633 | 0% | 329 | $0.00 | |
| 90685 | 0% | 90 | $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 officialELLERBROOK, JAMIE (OWNER)