Physician
Pediatric Health Care Associates, PC
Pediatric Health Care Associates, PC was paid $3.23M by Medicaid between Jan 2018 and Dec 2024, across 73 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
33Billing provider infoPEDIATRIC HEALTH CARE ASSOCIATES, PC
CHATTANOOGA, TN 37411
CHATTANOOGA, TN 37411
33aNPI1750592689assigned 05/24/2007
33bProvider typePediatrics Physician
28Total paid$3.23M
24GClaims163,441
24DCodes billed73
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#34 of 333
Median peer was paid$139K
This provider vs. median23×
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 | 25,226 | $492K | |
| 2019 | 30,610 | $614K | |
| 2020 | 28,692 | $509K | |
| 2021 | 23,106 | $393K | |
| 2022 | 19,836 | $408K | |
| 2023 | 20,607 | $471K | |
| 2024incomplete | 15,364 | $346K |
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 | 19% | 15,621 | 13,555 | $625K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 19% | 15,933 | 12,314 | $620K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 6,438 | 5,383 | $413K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 6,118 | 4,959 | $340K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 5,380 | 4,399 | $339K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.3% | 3,974 | 3,007 | $269K |
| 96160 | 6.4% | 10,308 | 6,745 | $208K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.2% | 3,115 | 2,258 | $71K |
| 96161 | 1.3% | 2,767 | 2,222 | $43K | |
| 85018 | 1.1% | 16,437 | 12,834 | $36K | |
| 81002 | <1% | 12,343 | 9,468 | $29K | |
| 99173 | <1% | 4,718 | 3,736 | $25K |
61 more codes
| 92551 | <1% | 3,812 | $24K | |
| 96127 | <1% | 6,519 | $24K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 385 | $23K |
| 36416 | <1% | 14,248 | $23K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,828 | $16K |
| 99401 | <1% | 914 | $15K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 830 | $10K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 131 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 323 | $7K |
| 99383 | <1% | 174 | $7K | |
| 99460 | <1% | 142 | $6K | |
| 90651 | <1% | 1,693 | $6K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 388 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,258 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 335 | $4K |
| 99174 | <1% | 339 | $3K | |
| 94010 | <1% | 127 | $3K | |
| 99382 | <1% | 146 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 175 | $3K |
| 90734 | <1% | 802 | $2K | |
| 90686 | <1% | 4,144 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 113 | $1K |
| 87430 | <1% | 120 | $1K | |
| 90620 | <1% | 409 | $1K | |
| 99381 | <1% | 36 | $1K | |
| 99384 | <1% | 62 | $1K | |
| 94664 | <1% | 68 | $916.38 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 124 | $913.85 |
| 90473 | <1% | 99 | $889.90 | |
| 90710 | <1% | 1,151 | $864.89 | |
| 87807 | <1% | 97 | $819.08 | |
| 87400 | <1% | 62 | $668.60 | |
| 90670 | <1% | 4,188 | $546.00 | |
| 94760 | <1% | 269 | $530.75 | |
| 90688 | <1% | 1,713 | $457.36 | |
| 90716 | <1% | 431 | $344.34 | |
| 90696 | <1% | 351 | $343.14 | |
| 90707 | <1% | 430 | $190.00 | |
| 90633 | <1% | 2,129 | $173.97 | |
| 90715 | <1% | 149 | $163.20 | |
| 81003 | <1% | 35 | $84.78 | |
| 90700 | <1% | 283 | $30.00 | |
| 90674 | <1% | 202 | $25.00 | |
| 90648 | <1% | 889 | $14.70 | |
| 99000 | <1% | 413 | $2.16 | |
| 90681 | 0% | 795 | $0.00 | |
| 90672 | 0% | 274 | $0.00 | |
| 83655 | 0% | 34 | $0.00 | |
| 90461 | 0% | 69 | $0.00 | |
| 90685 | 0% | 33 | $0.00 | |
| 90687 | 0% | 27 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 16 | $0.00 |
| 90647 | 0% | 1,494 | $0.00 | |
| 90723 | 0% | 2,737 | $0.00 | |
| 90677 | 0% | 539 | $0.00 | |
| 90698 | 0% | 108 | $0.00 | |
| 90656 | 0% | 359 | $0.00 | |
| 90619 | 0% | 154 | $0.00 | |
| 90744 | 0% | 68 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 16 | $0.00 |
| 90680 | 0% | 30 | $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 officialHUBBARD, WILLIE (PEDIATRICIAN/OWNER)