Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TN › SEWANEE › SEWANEE PEDIATRICS AND ADOLESCENT MEDICINE PLLC

SEWANEE PEDIATRICS AND ADOLESCENT MEDICINE PLLC

NPI: 1871997841 · SEWANEE, TN 37375 · Pediatrics Physician · NPI assigned 10/20/2014

$931K
Total Medicaid Paid
29,477
Total Claims
25,899
Beneficiaries
45
Codes Billed
2018-05
First Month
2023-03
Last Month

Provider Details

Authorized OfficialEVANS, AMY (PHYSICIAN)
NPI Enumeration Date10/20/2014

Related Entities

Other providers sharing the same authorized official: EVANS, AMY

ProviderCityStateTotal Paid
COUNTY OF DODGE DODGE CENTER MN $856K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 80 $1K
2019 54 $845.00
2020 793 $13K
2021 13,473 $373K
2022 11,765 $417K
2023 3,312 $126K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,251 3,671 $262K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,805 3,293 $156K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,096 979 $134K
90460 Immunization administration through 18 years of age via any route, first or only component 1,855 1,663 $87K
99215 Prolong outpt/office vis 732 586 $61K
96160 2,194 2,004 $37K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,374 1,273 $37K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 537 503 $35K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 545 462 $32K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 317 294 $22K
96127 2,493 2,178 $12K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 775 711 $12K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 146 133 $10K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 320 308 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 237 217 $6K
92551 580 539 $4K
69210 76 64 $3K
99177 253 235 $2K
99173 314 295 $2K
D1206 Topical application of fluoride varnish 67 67 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 108 107 $1K
99401 51 32 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 61 37 $854.44
D0190 67 67 $768.00
90686 836 759 $721.95
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 15 13 $561.48
90734 27 25 $505.10
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 15 13 $488.35
90670 249 226 $482.76
85018 102 92 $238.97
0011A 17 14 $220.22
92558 40 36 $203.20
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 21 19 $186.54
81003 94 79 $184.95
36415 Collection of venous blood by venipuncture 65 62 $147.92
94760 610 533 $142.46
36416 70 64 $137.35
90723 80 69 $70.72
90648 260 237 $34.74
99072 3,219 2,634 $0.58
91301 17 14 $0.02
90651 13 12 $0.01
99000 1,439 1,253 $0.00
91307 14 14 $0.00
90681 20 13 $0.00