Memphis & Shelby County Ped. Group

Memphis & Shelby County Ped. Group was paid $9.22M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.

33Billing provider infoMEMPHIS & SHELBY COUNTY PED. GROUP
MEMPHIS, TN 38116

33aNPI1710067020assigned 10/17/2006

33bProvider typePediatrics Physician

28Total paid$9.22M

24GClaims567,983

24DCodes billed77

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Tennessee

Rank by total paid#11 of 333

Median peer was paid$139K

This provider vs. median66×

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	97,173	$1.47M
2019	107,475	$1.72M
2020	67,205	$1.20M
2021	76,221	$1.23M
2022	96,051	$1.57M
2023	62,900	$1.06M
2024incomplete	60,958	$963K

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	22%	45,058	37,752	$2.03M
90460	Immunization administration through 18 years of age via any route, first or only component	14%	65,525	28,576	$1.30M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	11%	13,127	11,551	$990K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	10%	12,714	11,102	$937K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	7.7%	8,909	7,294	$707K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	7.2%	9,786	8,426	$668K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	5.0%	15,090	12,853	$457K
96160		2.8%	19,672	13,786	$261K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	2.3%	3,386	2,082	$214K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.9%	7,284	6,079	$176K
96127		1.9%	41,972	24,007	$173K
85013		1.8%	34,525	29,397	$170K

65 more codes

96161		1.5%	8,985	$138K
99173		1.4%	25,057	$130K
99381		1.1%	1,327	$103K
99214	Doctor's office visit, returning patient (more involved)	<1%	1,293	$88K
92551		<1%	10,803	$79K
36416		<1%	42,076	$65K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	4,597	$57K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	2,061	$52K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	6,255	$51K
81002		<1%	19,542	$49K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	4,139	$46K
3008F		<1%	30,053	$34K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	580	$26K
99203	Doctor's office visit, new patient (routine)	<1%	368	$24K
99383		<1%	238	$20K
36415	Collection of venous blood by venipuncture	<1%	9,714	$19K
99201		<1%	514	$15K
90651		<1%	5,538	$15K
99460		<1%	266	$15K
87807		<1%	1,408	$13K
95930		<1%	205	$12K
83036	Hemoglobin; glycosylated (A1C)	<1%	5,047	$11K
99382		<1%	93	$8K
99384		<1%	76	$7K
90620		<1%	1,666	$7K
90734		<1%	4,485	$7K
99238	Hospital discharge day management, 30 minutes or less	<1%	95	$6K
92567		<1%	356	$5K
81025		<1%	1,005	$5K
99401		<1%	187	$5K
90716		<1%	3,688	$4K
90461		<1%	17,895	$3K
69210		<1%	100	$3K
90715		<1%	1,901	$2K
90707		<1%	3,689	$2K
90670		<1%	9,281	$2K
90686		<1%	5,596	$2K
90696		<1%	1,921	$1K
90697		<1%	1,189	$1K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	14	$1K
90698		<1%	7,684	$960.00
94760		<1%	827	$859.77
90680		<1%	5,984	$835.89
90633		<1%	6,010	$824.39
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	56	$787.94
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	83	$725.76
69209		<1%	82	$465.88
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	76	$440.66
90744		<1%	4,546	$429.38
99462		<1%	14	$402.83
90473		<1%	5,920	$332.15
90688		<1%	1,389	$313.32
90677		<1%	228	$300.00
90671		<1%	1,007	$270.00
90710		<1%	785	$270.00
90674		<1%	396	$136.08
A7015	Aerosol mask, used with dme nebulizer	<1%	75	$34.56
99000		<1%	19,570	$31.06
90685		<1%	312	$27.29
A7004	Small volume nonfiltered pneumatic nebulizer, disposable	<1%	75	$9.58
90656		0%	505	$0.00
90723		0%	745	$0.00
90648		0%	1,001	$0.00
90700		0%	244	$0.00
90713		0%	18	$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 officialCARTER, KATHERINE (BILLING SUPERVISOR)