Physician
Children's Clinic East
Children's Clinic East was paid $3.91M by Medicaid between Jan 2018 and Dec 2020, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoCHILDREN'S CLINIC EAST
HERMITAGE, TN 37076
HERMITAGE, TN 37076
33aNPI1942220389assigned 07/20/2006
33bProvider typePediatrics Physician
28Total paid$3.91M
24GClaims136,390
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#31 of 333
Median peer was paid$139K
This provider vs. median28×
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 | 40,819 | $1.19M | |
| 2019 | 49,569 | $1.45M | |
| 2020 | 46,002 | $1.26M |
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 | 33% | 28,052 | 24,992 | $1.28M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 17% | 15,365 | 13,420 | $659K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 6,486 | 5,796 | $451K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 6,528 | 5,741 | $407K |
| 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 | 7.4% | 4,204 | 3,686 | $288K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.1% | 12,939 | 9,855 | $238K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 2,791 | 2,520 | $193K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 936 | 776 | $69K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.7% | 913 | 856 | $68K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 3,142 | 2,949 | $46K |
| 92551 | <1% | 3,564 | 3,128 | $29K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 962 | 843 | $29K |
47 more codes
| 3008F | <1% | 11,617 | $23K | |
| 90670 | <1% | 3,563 | $16K | |
| 99173 | <1% | 3,364 | $15K | |
| 99174 | <1% | 995 | $12K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,071 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 978 | $10K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 292 | $9K |
| 96127 | <1% | 2,234 | $6K | |
| 83655 | <1% | 471 | $5K | |
| 99460 | <1% | 116 | $5K | |
| 99177 | <1% | 800 | $5K | |
| 90651 | <1% | 198 | $3K | |
| 90688 | <1% | 1,490 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 54 | $3K |
| 36416 | <1% | 2,459 | $3K | |
| 85018 | <1% | 1,208 | $3K | |
| 90698 | <1% | 1,707 | $2K | |
| 90686 | <1% | 3,691 | $2K | |
| 90680 | <1% | 1,468 | $2K | |
| 90734 | <1% | 68 | $1K | |
| 94375 | <1% | 36 | $1K | |
| 92587 | <1% | 27 | $880.76 | |
| 96160 | <1% | 69 | $820.18 | |
| 80061 | Lipid panel | <1% | 68 | $761.48 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 37 | $629.44 |
| 90633 | <1% | 371 | $606.21 | |
| 87081 | <1% | 122 | $551.32 | |
| 90710 | <1% | 17 | $527.18 | |
| 90716 | <1% | 50 | $465.00 | |
| 90707 | <1% | 94 | $296.28 | |
| 90744 | <1% | 578 | $155.47 | |
| 96161 | <1% | 33 | $139.83 | |
| 90685 | <1% | 454 | $132.24 | |
| 90700 | <1% | 26 | $101.99 | |
| 81003 | <1% | 27 | $57.26 | |
| 90648 | <1% | 12 | $29.40 | |
| 99000 | <1% | 1,585 | $3.71 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 14 | $1.58 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 702 | $0.00 |
| 3210F | 0% | 236 | $0.00 | |
| G8712 | Antibiotic not prescribed or dispensed | 0% | 95 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 3,793 | $0.00 |
| G8708 | Patient not prescribed antibiotic | 0% | 3,071 | $0.00 |
| 3351F | 0% | 1,078 | $0.00 | |
| 2016F | 0% | 23 | $0.00 | |
| 1031F | 0% | 23 | $0.00 | |
| 2015F | 0% | 23 | $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 officialDOZIER, KRISTI (CREDENTIALING MANAGER)