Physician
Pediatric Medical Urgent Care Services PLLC
Pediatric Medical Urgent Care Services PLLC was paid $891K by Medicaid between Jul 2020 and Dec 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoPEDIATRIC MEDICAL URGENT CARE SERVICES PLLC
MURFREESBORO, TN 37129
MURFREESBORO, TN 37129
33aNPI1871112375assigned 04/14/2020
33bProvider typePediatrics Physician
28Total paid$891K
24GClaims18,937
24DCodes billed13
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#77 of 333
Median peer was paid$139K
This provider vs. median6.4×
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 | 573 | $4K | |
| 2021 | 3,382 | $131K | |
| 2022 | 6,209 | $304K | |
| 2023 | 5,467 | $291K | |
| 2024incomplete | 3,306 | $161K |
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 | 32% | 5,814 | 5,212 | $286K |
| 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 | 29% | 4,819 | 3,955 | $258K |
| 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 | 19% | 2,538 | 2,093 | $172K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 3,112 | 2,759 | $153K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.1% | 404 | 378 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,000 | 925 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 472 | 211 | $3K |
| 87428 | <1% | 26 | 24 | $1K | |
| 69210 | <1% | 13 | 12 | $564.36 | |
| 81003 | <1% | 15 | 12 | $14.44 | |
| Q0162 | Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen | <1% | 14 | 14 | $0.90 |
| 99000 | 0% | 430 | 413 | $0.00 |
1 more codes
| 99072 | 0% | 280 | $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 officialTOLAR, KEITH (MEDICAL DIRECTOR)