Physician
The Children's Clinic of West Tennessee P.A.
The Children's Clinic of West Tennessee P.A. was paid $856K by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoTHE CHILDREN'S CLINIC OF WEST TENNESSEE P.A.
JACKSON, TN 38301
JACKSON, TN 38301
33aNPI1942469606assigned 06/06/2008
33bProvider typePediatrics Physician
28Total paid$856K
24GClaims28,891
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#80 of 333
Median peer was paid$139K
This provider vs. median6.1×
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 | 1,791 | $46K | |
| 2019 | 1,829 | $48K | |
| 2020 | 1,544 | $50K | |
| 2021 | 5,400 | $164K | |
| 2022 | 7,626 | $213K | |
| 2023 | 5,881 | $183K | |
| 2024incomplete | 4,820 | $153K |
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 | 42% | 9,583 | 8,490 | $361K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16% | 2,297 | 2,082 | $135K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 9.6% | 1,148 | 991 | $82K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.4% | 889 | 841 | $63K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.4% | 736 | 671 | $46K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.2% | 1,084 | 994 | $36K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.2% | 2,572 | 2,388 | $36K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.4% | 2,102 | 971 | $29K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.9% | 2,285 | 2,137 | $25K |
| 87999 | 1.4% | 1,009 | 936 | $12K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 105 | 103 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 240 | 234 | $4K |
26 more codes
| 81001 | <1% | 769 | $3K | |
| 83655 | <1% | 166 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 215 | $2K |
| 90670 | <1% | 657 | $2K | |
| 90686 | <1% | 587 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | $1K |
| 99381 | <1% | 12 | $1K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 15 | $971.20 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $888.48 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 40 | $887.76 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | $711.09 |
| 90698 | <1% | 599 | $648.48 | |
| 36416 | <1% | 167 | $522.60 | |
| 90680 | <1% | 539 | $358.13 | |
| 90716 | <1% | 102 | $340.00 | |
| 90677 | <1% | 155 | $300.00 | |
| 92583 | <1% | 17 | $280.00 | |
| 90707 | <1% | 89 | $201.94 | |
| 87807 | <1% | 14 | $166.56 | |
| 99173 | <1% | 18 | $159.84 | |
| 90744 | <1% | 290 | $97.25 | |
| 90656 | <1% | 44 | $60.00 | |
| 96127 | <1% | 12 | $55.00 | |
| 90633 | <1% | 253 | $43.64 | |
| 90685 | 0% | 12 | $0.00 | |
| 90700 | 0% | 12 | $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 officialSELF, DAVID (PARTNER)