Physician
Pediatric Consultants of East Tennessee
Pediatric Consultants of East Tennessee was paid $2.08M by Medicaid between Jan 2018 and Sep 2020, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoPEDIATRIC CONSULTANTS OF EAST TENNESSEE
KNOXVILLE, TN 37920
KNOXVILLE, TN 37920
33aNPI1912076506assigned 11/07/2006
33bProvider typePediatrics Physician
28Total paid$2.08M
24GClaims85,298
24DCodes billed43
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#54 of 333
Median peer was paid$139K
This provider vs. median15×
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 | 34,291 | $844K | |
| 2019 | 35,270 | $847K | |
| 2020 | 15,737 | $392K |
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 | 24% | 9,798 | 8,530 | $491K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 3,590 | 3,316 | $294K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 3,573 | 3,235 | $258K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.1% | 2,342 | 2,134 | $189K |
| 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 | 7.7% | 2,158 | 1,970 | $161K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.4% | 7,335 | 6,702 | $112K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.9% | 4,776 | 4,345 | $101K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.2% | 966 | 873 | $87K |
| 92552 | 2.8% | 2,793 | 2,492 | $59K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.1% | 1,976 | 1,735 | $44K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.1% | 3,768 | 1,776 | $43K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.9% | 615 | 542 | $39K |
31 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 3,286 | $37K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.5% | 4,124 | $31K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 741 | $24K |
| 96127 | 1.1% | 4,997 | $24K | |
| 99381 | <1% | 232 | $19K | |
| 3008F | <1% | 4,613 | $13K | |
| 99173 | <1% | 2,196 | $12K | |
| 83655 | <1% | 772 | $9K | |
| 90474 | <1% | 703 | $7K | |
| 36416 | <1% | 4,123 | $6K | |
| 90716 | <1% | 705 | $5K | |
| 81003 | <1% | 2,420 | $5K | |
| 90707 | <1% | 738 | $3K | |
| 90670 | <1% | 2,707 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 88 | $2K |
| 90651 | <1% | 217 | $1K | |
| 96161 | <1% | 102 | $772.99 | |
| 90696 | <1% | 133 | $761.07 | |
| 90686 | <1% | 1,740 | $712.00 | |
| 90633 | <1% | 754 | $393.03 | |
| 90734 | <1% | 86 | $341.90 | |
| 90723 | <1% | 1,764 | $313.12 | |
| 90648 | <1% | 2,570 | $251.89 | |
| 90680 | <1% | 172 | $110.31 | |
| 90461 | <1% | 473 | $67.56 | |
| 90715 | <1% | 26 | $55.96 | |
| 90700 | <1% | 168 | $31.56 | |
| 90744 | 0% | 39 | $0.00 | |
| 90698 | 0% | 37 | $0.00 | |
| 90681 | 0% | 441 | $0.00 | |
| 90685 | 0% | 441 | $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 officialJOCHER, CAMILLA (PRESIDENT)