NP / PA
TLC Pediatrics & Family LLC
TLC Pediatrics & Family LLC was paid $647K by Medicaid between Jun 2020 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoTLC PEDIATRICS & FAMILY LLC
ATHENS, AL 35613
ATHENS, AL 35613
33aNPI1811523137assigned 03/18/2020
33bProvider typeFamily Nurse Practitioner
28Total paid$647K
24GClaims17,986
24DCodes billed28
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Alabama
Rank by total paid#5 of 130
Median peer was paid$0.00
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 | |
|---|---|---|---|
| 2020 | 230 | $7K | |
| 2021 | 1,696 | $46K | |
| 2022 | 5,080 | $137K | |
| 2023 | 5,459 | $234K | |
| 2024incomplete | 5,521 | $222K |
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 | 47% | 7,343 | 6,233 | $301K |
| 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 | 21% | 2,373 | 1,968 | $133K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 14% | 1,009 | 925 | $92K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.9% | 3,062 | 2,765 | $38K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.4% | 612 | 580 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.1% | 1,282 | 587 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 166 | 151 | $10K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 201 | 174 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 235 | 171 | $9K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.4% | 87 | 79 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 74 | 69 | $4K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 26 | 25 | $2K |
16 more codes
| 92551 | <1% | 446 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 44 | $2K |
| 99173 | <1% | 449 | $1K | |
| 90686 | <1% | 133 | $1K | |
| 87807 | <1% | 85 | $874.50 | |
| 90670 | <1% | 83 | $616.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 64 | $446.64 |
| 90697 | <1% | 27 | $192.00 | |
| 90680 | <1% | 27 | $192.00 | |
| 90677 | <1% | 21 | $152.00 | |
| 96161 | <1% | 56 | $149.94 | |
| 90698 | <1% | 17 | $120.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 17 | $102.16 |
| 96127 | <1% | 14 | $60.14 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 12 | $0.00 |
| 99401 | 0% | 21 | $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 officialWILDER, TEAIRAH (OWNER/CRNP)