Physician
Terrace Pediatric Group LLC
Terrace Pediatric Group LLC was paid $3.00M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
33Billing provider infoTERRACE PEDIATRIC GROUP LLC
NASHVILLE, TN 37203
NASHVILLE, TN 37203
33aNPI1942252648assigned 05/17/2006
33bProvider typePediatrics Physician
28Total paid$3.00M
24GClaims116,370
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#39 of 333
Median peer was paid$139K
This provider vs. median22×
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 | 20,368 | $445K | |
| 2019 | 24,643 | $566K | |
| 2020 | 12,145 | $345K | |
| 2021 | 13,475 | $394K | |
| 2022 | 15,264 | $431K | |
| 2023 | 17,096 | $455K | |
| 2024incomplete | 13,379 | $364K |
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 | 19% | 12,431 | 11,348 | $564K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 17% | 16,216 | 10,629 | $512K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 6,105 | 5,726 | $465K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 5,414 | 4,944 | $368K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 11% | 14,156 | 11,480 | $337K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.3% | 3,826 | 3,591 | $280K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 1,138 | 1,084 | $92K |
| 96160 | 2.2% | 9,895 | 9,092 | $66K | |
| 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 | 1.7% | 741 | 659 | $52K |
| 88738 | 1.3% | 7,884 | 7,452 | $40K | |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | <1% | 2,155 | 1,996 | $26K |
| 92587 | <1% | 1,121 | 1,047 | $23K |
60 more codes
| 99401 | <1% | 1,552 | $22K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,099 | $16K |
| 92551 | <1% | 1,940 | $16K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,144 | $12K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 113 | $10K |
| 99177 | <1% | 1,526 | $9K | |
| 96161 | <1% | 1,443 | $9K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 219 | $8K |
| D1206 | Topical application of fluoride varnish | <1% | 579 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 442 | $6K |
| 90670 | <1% | 3,001 | $6K | |
| 96127 | <1% | 1,254 | $5K | |
| 99174 | <1% | 731 | $5K | |
| D0190 | <1% | 723 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 458 | $5K |
| 36416 | <1% | 2,487 | $4K | |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 353 | $3K |
| 81002 | <1% | 1,046 | $3K | |
| 3008F | <1% | 326 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 159 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 69 | $2K |
| 99173 | <1% | 592 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 27 | $1K |
| 99460 | <1% | 28 | $1K | |
| 90480 | <1% | 31 | $1K | |
| 90716 | <1% | 428 | $1K | |
| 90473 | <1% | 70 | $904.28 | |
| 90672 | <1% | 906 | $862.51 | |
| 99462 | <1% | 34 | $818.94 | |
| 90671 | <1% | 564 | $807.82 | |
| 90651 | <1% | 153 | $787.54 | |
| 90723 | <1% | 1,931 | $710.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 17 | $682.17 |
| 83655 | <1% | 44 | $579.02 | |
| 0071A | <1% | 14 | $560.00 | |
| 90707 | <1% | 426 | $555.01 | |
| 90688 | <1% | 1,008 | $506.64 | |
| 90633 | <1% | 661 | $477.00 | |
| 90677 | <1% | 97 | $321.78 | |
| A4617 | Mouth piece | <1% | 156 | $255.12 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $252.95 |
| 90647 | <1% | 1,255 | $234.71 | |
| 90674 | <1% | 244 | $181.65 | |
| 90734 | <1% | 61 | $157.35 | |
| 99051 | <1% | 41 | $137.00 | |
| 90698 | <1% | 25 | $122.57 | |
| 90715 | <1% | 13 | $50.29 | |
| 90700 | <1% | 28 | $35.33 | |
| 90686 | <1% | 917 | $22.27 | |
| 99000 | <1% | 1,062 | $7.44 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 46 | $5.67 |
| 91321 | <1% | 15 | $0.15 | |
| 90681 | 0% | 677 | $0.00 | |
| 90687 | 0% | 224 | $0.00 | |
| 90685 | 0% | 108 | $0.00 | |
| 1005F | 0% | 1,400 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 150 | $0.00 |
| 90696 | 0% | 14 | $0.00 | |
| 91307 | 0% | 89 | $0.00 | |
| 99070 | 0% | 53 | $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 officialPRICE, JAMES (PARTNER)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.