NP / PA
Family and Pediatric Care Clinic LLC
Family and Pediatric Care Clinic LLC was paid $892K by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoFAMILY AND PEDIATRIC CARE CLINIC LLC
ONEIDA, TN 37841
ONEIDA, TN 37841
33aNPI1861844763assigned 07/05/2016
33bProvider typeFamily Nurse Practitioner
28Total paid$892K
24GClaims48,059
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Tennessee
Rank by total paid#21 of 687
Median peer was paid$15K
This provider vs. median61×
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 | 4,084 | $116K | |
| 2019 | 6,317 | $135K | |
| 2020 | 8,339 | $126K | |
| 2021 | 8,185 | $138K | |
| 2022 | 8,124 | $140K | |
| 2023 | 6,341 | $126K | |
| 2024incomplete | 6,669 | $111K |
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 | 61% | 18,817 | 14,694 | $547K |
| 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 | 10% | 3,247 | 2,654 | $92K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 6.0% | 1,745 | 1,434 | $53K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 4.5% | 4,581 | 2,451 | $40K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.9% | 453 | 379 | $26K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.7% | 2,974 | 1,222 | $24K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 342 | 283 | $17K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 1,047 | 890 | $16K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 1,362 | 1,168 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 161 | 145 | $10K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 400 | 332 | $9K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 621 | 522 | $7K |
42 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 512 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 58 | $4K |
| 99173 | <1% | 812 | $4K | |
| 96127 | <1% | 1,009 | $3K | |
| 92551 | <1% | 564 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 371 | $3K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 407 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 89 | $2K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 1,020 | $1K |
| 85018 | <1% | 661 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 18 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 25 | $1K |
| 82962 | <1% | 547 | $764.74 | |
| 90670 | <1% | 160 | $752.79 | |
| 81002 | <1% | 419 | $681.31 | |
| 90674 | <1% | 47 | $531.92 | |
| 87807 | <1% | 56 | $450.12 | |
| 90686 | <1% | 61 | $421.76 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 87 | $392.84 |
| 1160F | <1% | 2,036 | $270.00 | |
| 90688 | <1% | 44 | $216.63 | |
| 1125F | <1% | 1,553 | $210.00 | |
| 85014 | <1% | 102 | $208.13 | |
| 96161 | <1% | 31 | $180.82 | |
| 90698 | <1% | 79 | $127.31 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 211 | $104.18 |
| 3008F | <1% | 79 | $70.00 | |
| 96160 | <1% | 82 | $62.39 | |
| 3078F | <1% | 274 | $60.00 | |
| 3074F | <1% | 239 | $60.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 84 | $56.81 |
| 3077F | <1% | 146 | $40.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 15 | $31.77 |
| 3080F | <1% | 58 | $30.00 | |
| 3075F | <1% | 51 | $30.00 | |
| 3079F | <1% | 71 | $20.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 41 | $0.43 |
| 99072 | 0% | 85 | $0.00 | |
| 90461 | 0% | 16 | $0.00 | |
| 90734 | 0% | 16 | $0.00 | |
| 99000 | 0% | 41 | $0.00 | |
| 90744 | 0% | 32 | $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 officialWEST, DONNA (OFFICE MANAGER)