Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Pediatrics to Parents Medical, PC

Pediatrics to Parents Medical, PC was paid $885K by Medicaid between Jan 2018 and Oct 2024, across 68 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoPEDIATRICS TO PARENTS MEDICAL, PC
TAZEWELL, TN 37879
33aNPI1912189085assigned 11/30/2007
28Total paid$885K
24GClaims56,266
24DCodes billed68
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Tennessee

Rank by total paid#5 of 18
Median peer was paid$314K
This provider vs. median2.8×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20187,177$134K
20199,818$172K
20207,976$132K
20219,245$125K
20227,581$111K
20238,435$122K
2024incomplete6,034$88K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 50% 12,268 10,064 $438K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 8,268 6,887 $242K
80305 5.4% 12,716 10,721 $48K
90460 Immunization administration through 18 years of age via any route, first or only component 5.4% 1,217 1,014 $47K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.9% 1,753 1,424 $17K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.8% 223 182 $16K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.2% 158 126 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 82 66 $7K
96127 <1% 1,932 1,616 $6K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 183 168 $6K
99406 <1% 936 796 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 447 261 $5K
56 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 438 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 69 $4K
90688 <1% 481 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 248 $3K
36415 Collection of venous blood by venipuncture <1% 3,245 $3K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 276 $2K
81002 <1% 1,107 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 1,430 $2K
99173 <1% 745 $2K
93000 <1% 245 $2K
90686 <1% 357 $2K
92552 <1% 61 $1K
99204 Doctor's office visit, new patient (more involved) <1% 18 $1K
94060 <1% 23 $924.43
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 228 $858.33
J1071 Injection, testosterone cypionate, 1 mg <1% 254 $752.43
82044 <1% 406 $744.25
90658 <1% 72 $444.46
36416 <1% 541 $429.92
93922 <1% 13 $409.52
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 12 $343.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 573 $302.12
83037 <1% 44 $167.98
96161 <1% 95 $155.95
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 268 $110.67
82270 <1% 52 $98.70
85018 <1% 56 $78.98
G0444 Annual depression screening, 5 to 15 minutes <1% 325 $77.45
G0008 Administration of influenza virus vaccine <1% 264 $52.28
90461 <1% 214 $34.19
3044F <1% 482 $20.00
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 14 $13.09
90749 <1% 79 $9.30
3078F 0% 52 $0.00
1160F 0% 32 $0.00
90670 0% 21 $0.00
1159F 0% 92 $0.00
90648 0% 20 $0.00
4004F 0% 113 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 13 $0.00
3008F 0% 1,059 $0.00
3352F 0% 208 $0.00
3074F 0% 18 $0.00
3351F 0% 351 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 0% 118 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 0% 433 $0.00
3353F 0% 59 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 371 $0.00
3061F 0% 46 $0.00
1170F 0% 91 $0.00
1125F 0% 88 $0.00
1036F 0% 98 $0.00
90723 0% 17 $0.00
90656 0% 13 $0.00
3354F 0% 19 $0.00
3075F 0% 16 $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 officialFEJERAN, RONALD (PRESIDENT AND PHYSICIAN)