Physician
Childrens Medical Group
Childrens Medical Group was paid $3.94M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoCHILDRENS MEDICAL GROUP
HERMITAGE, TN 37076
HERMITAGE, TN 37076
33aNPI1760456065assigned 02/14/2006
33bProvider typePediatrics Physician
28Total paid$3.94M
24GClaims147,837
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#30 of 333
Median peer was paid$139K
This provider vs. median28×
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 | 18,540 | $511K | |
| 2019 | 21,888 | $606K | |
| 2020 | 17,752 | $451K | |
| 2021 | 23,226 | $523K | |
| 2022 | 23,552 | $625K | |
| 2023 | 22,552 | $641K | |
| 2024incomplete | 20,327 | $588K |
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 | 24% | 21,260 | 19,507 | $929K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 18% | 15,572 | 14,376 | $727K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 8,760 | 7,702 | $570K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 7,723 | 7,181 | $561K |
| 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 | 7.9% | 4,588 | 4,242 | $311K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 3,551 | 3,291 | $255K |
| 87428 | 2.9% | 1,951 | 1,850 | $114K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 1,366 | 1,276 | $108K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.6% | 3,885 | 2,927 | $102K |
| 99177 | <1% | 7,364 | 6,799 | $39K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,294 | 4,012 | $37K |
| 96127 | <1% | 7,917 | 7,194 | $32K |
45 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,019 | $31K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 991 | $29K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,102 | $16K |
| 3008F | <1% | 11,823 | $14K | |
| 92551 | <1% | 1,302 | $11K | |
| 83655 | <1% | 784 | $8K | |
| 96161 | <1% | 1,167 | $8K | |
| 90670 | <1% | 4,574 | $5K | |
| 90651 | <1% | 263 | $5K | |
| 85018 | <1% | 2,456 | $5K | |
| 36416 | <1% | 5,119 | $5K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 81 | $3K |
| 90677 | <1% | 1,046 | $3K | |
| 90716 | <1% | 810 | $2K | |
| 90698 | <1% | 3,812 | $2K | |
| 90686 | <1% | 4,635 | $2K | |
| 90680 | <1% | 2,793 | $2K | |
| 90707 | <1% | 845 | $1K | |
| 96380 | <1% | 65 | $1K | |
| 99381 | <1% | 12 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 57 | $891.29 |
| 90633 | <1% | 1,391 | $646.66 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,199 | $564.41 |
| D1206 | Topical application of fluoride varnish | <1% | 25 | $492.00 |
| 90734 | <1% | 103 | $323.37 | |
| 96160 | <1% | 30 | $293.12 | |
| D0190 | <1% | 25 | $288.00 | |
| 90744 | <1% | 1,740 | $212.91 | |
| 80061 | Lipid panel | <1% | 16 | $177.96 |
| 87807 | <1% | 14 | $118.80 | |
| 90656 | <1% | 359 | $92.80 | |
| 90696 | <1% | 85 | $70.80 | |
| 90685 | <1% | 226 | $49.56 | |
| 99173 | <1% | 13 | $36.66 | |
| 81002 | <1% | 12 | $27.84 | |
| 99072 | <1% | 7,354 | $0.37 | |
| 90674 | <1% | 84 | $0.01 | |
| 90461 | 0% | 13 | $0.00 | |
| 90672 | 0% | 13 | $0.00 | |
| 90661 | 0% | 18 | $0.00 | |
| 90700 | 0% | 16 | $0.00 | |
| 90648 | 0% | 14 | $0.00 | |
| 90715 | 0% | 30 | $0.00 | |
| 90381 | 0% | 12 | $0.00 | |
| 99000 | 0% | 58 | $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 officialFAIRBANK, ELIZABETH (PRESIDENT)