Physician
Sewanee Pediatrics and Adolescent Medicine PLLC
Sewanee Pediatrics and Adolescent Medicine PLLC was paid $931K by Medicaid between May 2018 and Mar 2023, across 45 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoSEWANEE PEDIATRICS AND ADOLESCENT MEDICINE PLLC
SEWANEE, TN 37375
SEWANEE, TN 37375
33aNPI1871997841assigned 10/20/2014
33bProvider typePediatrics Physician
28Total paid$931K
24GClaims29,477
24DCodes billed45
24AFirst – last monthMay 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#76 of 333
Median peer was paid$139K
This provider vs. median6.7×
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 | 80 | $1K | |
| 2019 | 54 | $845.00 | |
| 2020 | 793 | $13K | |
| 2021 | 13,473 | $373K | |
| 2022 | 11,765 | $417K | |
| 2023 | 3,312 | $126K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 4,251 | 3,671 | $262K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 3,805 | 3,293 | $156K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 14% | 1,096 | 979 | $134K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.3% | 1,855 | 1,663 | $87K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.5% | 732 | 586 | $61K |
| 96160 | 4.0% | 2,194 | 2,004 | $37K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.9% | 1,374 | 1,273 | $37K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 537 | 503 | $35K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 545 | 462 | $32K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 317 | 294 | $22K |
| 96127 | 1.3% | 2,493 | 2,178 | $12K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.3% | 775 | 711 | $12K |
33 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 146 | $10K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.0% | 320 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 237 | $6K |
| 92551 | <1% | 580 | $4K | |
| 69210 | <1% | 76 | $3K | |
| 99177 | <1% | 253 | $2K | |
| 99173 | <1% | 314 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 67 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 108 | $1K |
| 99401 | <1% | 51 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 61 | $854.44 |
| D0190 | <1% | 67 | $768.00 | |
| 90686 | <1% | 836 | $721.95 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 15 | $561.48 |
| 90734 | <1% | 27 | $505.10 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 15 | $488.35 |
| 90670 | <1% | 249 | $482.76 | |
| 85018 | <1% | 102 | $238.97 | |
| 0011A | <1% | 17 | $220.22 | |
| 92558 | <1% | 40 | $203.20 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 21 | $186.54 |
| 81003 | <1% | 94 | $184.95 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 65 | $147.92 |
| 94760 | <1% | 610 | $142.46 | |
| 36416 | <1% | 70 | $137.35 | |
| 90723 | <1% | 80 | $70.72 | |
| 90648 | <1% | 260 | $34.74 | |
| 99072 | <1% | 3,219 | $0.58 | |
| 91301 | <1% | 17 | $0.02 | |
| 90651 | <1% | 13 | $0.01 | |
| 99000 | 0% | 1,439 | $0.00 | |
| 91307 | 0% | 14 | $0.00 | |
| 90681 | 0% | 20 | $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 officialEVANS, AMY (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| County of Dodge | Dodge Center, MN | $856K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.