Physician
Womens and Childrens Specialists, LLC
Womens and Childrens Specialists, LLC was paid $2.73M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 36% of everything it billed.
33Billing provider infoWOMENS AND CHILDRENS SPECIALISTS, LLC
NASHVILLE, TN 37203
NASHVILLE, TN 37203
33aNPI1689914756assigned 02/26/2013
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$2.73M
24GClaims41,214
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in Tennessee
Rank by total paid#2 of 27
Median peer was paid$73K
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 | 5,476 | $370K | |
| 2019 | 6,567 | $455K | |
| 2020 | 5,661 | $390K | |
| 2021 | 6,106 | $410K | |
| 2022 | 6,000 | $394K | |
| 2023 | 6,166 | $367K | |
| 2024incomplete | 5,238 | $343K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 36% | 13,549 | 10,061 | $994K |
| 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 | 35% | 17,780 | 15,275 | $968K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 12% | 3,448 | 3,163 | $315K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 5.2% | 1,092 | 1,010 | $143K |
| 95951 | 2.6% | 526 | 292 | $72K | |
| 95813 | 2.2% | 965 | 894 | $60K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 1,265 | 1,155 | $47K |
| 99205 | Prolong outpt/office vis | 1.2% | 280 | 263 | $33K |
| 95720 | 1.1% | 340 | 193 | $31K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 307 | 69 | $15K |
| 99443 | <1% | 394 | 348 | $13K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 175 | 163 | $11K |
12 more codes
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 42 | $11K |
| 94726 | <1% | 116 | $4K | |
| 83037 | <1% | 430 | $4K | |
| 94010 | <1% | 102 | $2K | |
| 95251 | <1% | 79 | $1K | |
| 94375 | <1% | 48 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $1K |
| 99243 | <1% | 47 | $787.07 | |
| 95012 | <1% | 74 | $625.73 | |
| 99442 | <1% | 29 | $512.50 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 82 | $291.42 |
| 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% | 30 | $148.02 |
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 officialSYKES, DANIEL (VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Columbia Medical Group-Southern Hills INC | Nashville, TN | $630K |
| Irl Pathology Services Midamerica, LLC | Kansas City, MO | $296K |
| Natchez Medical Associates, LLC | Dickson, TN | $238K |
| Amg - Southern Tennessee, LLC | Winchester, TN | $137K |
| Centennial Womens Group, LLC | Brentwood, TN | $74K |
| Amg - Southern Tennessee, LLC | Winchester, TN | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.