Cool Springs Internal Medicine & Pediatrics, PLLC.
Cool Springs Internal Medicine & Pediatrics, PLLC. was paid $2K by Medicaid between Feb 2018 and Dec 2022, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.
33Billing provider infoCOOL SPRINGS INTERNAL MEDICINE & PEDIATRICS, PLLC.
BRENTWOOD, TN 37027
BRENTWOOD, TN 37027
33aNPI1699977348assigned 06/04/2007
33bProvider typeSpecialist
28Total paid$2K
24GClaims1,750
24DCodes billed6
24AFirst – last monthFeb 2018 – Dec 2022
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#213 of 252
Median peer was paid$57K
This provider vs. median0.0×
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 | 224 | $0.00 | |
| 2019 | 583 | $1K | |
| 2020 | 29 | $669.99 | |
| 2021 | 303 | $0.00 | |
| 2022 | 611 | $0.00 |
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 | 89% | 46 | 40 | $1K |
| 1160F | 11% | 478 | 390 | $190.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 846 | 690 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 15 | 12 | $0.00 |
| 1159F | 0% | 349 | 280 | $0.00 | |
| 3008F | 0% | 16 | 12 | $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 officialSTEARNS, PATRICK (PRACTICE ADMINISTRATOR)