PEDIATRIC ASSOCIATES OF WEST TENNESSEE PLLC

$2.24M

Total Medicaid Paid

90,683

Total Claims

77,392

Beneficiaries

47

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214		13,123	11,724	$757K
99213		13,938	12,410	$533K
90460		12,034	6,952	$315K
99392		3,589	3,353	$234K
99391		2,258	2,136	$136K
99212		2,130	1,951	$53K
99393		681	632	$43K
87880		2,956	2,785	$28K
96110		2,381	2,100	$25K
92551		2,560	2,359	$16K
99173		2,941	2,716	$13K
G2211	Complex e/m visit add on	1,847	1,498	$11K
S0302	Completed epsdt	1,989	1,803	$10K
87804		857	786	$10K
G0451	Devlopment test interpt&rep	1,420	1,122	$9K
G0136	Adm of pa/n assess 5-15 m	1,147	1,045	$7K
96160		2,871	2,458	$7K
85025		974	820	$6K
36415		2,526	2,312	$5K
90471		399	387	$4K
90461		4,998	4,170	$3K
96127		738	643	$2K
G0447	Behavior counsel obesity 15m	198	181	$2K
90670		2,067	1,941	$2K
90698		2,128	2,004	$2K
36416		595	520	$878.80
99394		14	12	$866.57
94760		1,187	951	$793.17
96161		165	152	$779.08
90686		2,004	1,901	$590.38
90680		599	542	$419.64
90716		316	285	$378.00
G0444	Depression screen annual	62	56	$326.33
90707		318	287	$270.00
G0442	Annual alcohol screen 15 min	57	52	$226.47
90651		49	41	$177.70
99051		38	37	$90.99
G0008	Admin influenza virus vac	266	250	$41.96
90744		339	325	$25.16
81003		12	12	$16.02
99000		1,178	1,022	$3.44
90671		112	87	$0.18
G0010	Admin hepatitis b vaccine	26	25	$0.00
90696		46	38	$0.00
G0009	Admin pneumococcal vaccine	131	115	$0.00
90633		329	307	$0.00
90685		90	87	$0.00

Medicaid Provider Spending