Clinic
East Nashville Pediatrics PLLC
East Nashville Pediatrics PLLC was paid $129K by Medicaid between Apr 2022 and Dec 2024, across 18 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 31% of everything it billed.
33Billing provider infoEAST NASHVILLE PEDIATRICS PLLC
NASHVILLE, TN 37216
NASHVILLE, TN 37216
33aNPI1801477369assigned 04/16/2021
33bProvider typePrimary Care Clinic/Center
28Total paid$129K
24GClaims4,913
24DCodes billed18
24AFirst – last monthApr 2022 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Tennessee
Rank by total paid#65 of 139
Median peer was paid$101K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2022 | 591 | $21K | |
| 2023 | 1,720 | $42K | |
| 2024incomplete | 2,602 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 31% | 954 | 824 | $40K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 893 | 745 | $35K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 25% | 593 | 492 | $32K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.2% | 764 | 690 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.3% | 79 | 76 | $6K |
| 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 | 3.1% | 59 | 54 | $4K |
| 99177 | <1% | 229 | 209 | $1K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 17 | 13 | $579.32 |
| 90461 | <1% | 559 | 486 | $382.85 | |
| 90670 | <1% | 232 | 215 | $258.02 | |
| 90723 | <1% | 135 | 126 | $70.74 | |
| 99173 | <1% | 14 | 12 | $54.01 |
6 more codes
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 officialLUSTRE, BREANNA (OWNER)