Physician
The Pediatric Clinic PLLC
The Pediatric Clinic PLLC was paid $538K by Medicaid between Nov 2021 and Dec 2024, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 22% of everything it billed.
33Billing provider infoTHE PEDIATRIC CLINIC PLLC
ARLINGTON, TN 38002
ARLINGTON, TN 38002
33aNPI1962080614assigned 04/01/2021
33bProvider typePediatrics Physician
28Total paid$538K
24GClaims29,096
24DCodes billed39
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#99 of 333
Median peer was paid$139K
This provider vs. median3.9×
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 | |
|---|---|---|---|
| 2021 | 270 | $3K | |
| 2022 | 5,632 | $94K | |
| 2023 | 10,744 | $203K | |
| 2024incomplete | 12,450 | $237K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 22% | 2,213 | 1,806 | $121K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 2,159 | 1,676 | $74K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 2,465 | 1,089 | $62K |
| 96160 | 9.5% | 2,693 | 1,043 | $51K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 6.8% | 273 | 231 | $36K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.3% | 625 | 470 | $34K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 419 | 355 | $27K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.0% | 2,705 | 2,095 | $22K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.7% | 575 | 488 | $20K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.0% | 894 | 385 | $11K |
| 90677 | 2.0% | 199 | 159 | $11K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 878 | 754 | $11K |
27 more codes
| 96161 | 1.6% | 523 | $9K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.4% | 96 | $7K |
| 87631 | 1.3% | 42 | $7K | |
| 99215 | Doctor's office visit, returning patient (complex) | 1.2% | 109 | $7K |
| 36416 | <1% | 2,719 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 79 | $5K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 140 | $4K |
| 92551 | <1% | 433 | $3K | |
| 99173 | <1% | 386 | $2K | |
| 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% | 188 | $2K |
| 96127 | <1% | 338 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 16 | $999.46 |
| 99381 | <1% | 15 | $805.86 | |
| 90461 | <1% | 919 | $665.25 | |
| 99174 | <1% | 57 | $608.52 | |
| 90658 | <1% | 63 | $534.26 | |
| 90670 | <1% | 233 | $432.58 | |
| 90688 | <1% | 92 | $410.62 | |
| 90698 | <1% | 224 | $398.33 | |
| 90680 | <1% | 150 | $321.33 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 17 | $264.77 |
| A4258 | Spring-powered device for lancet, each | <1% | 2,656 | $134.08 |
| 90744 | <1% | 133 | $93.30 | |
| 90633 | <1% | 41 | $35.04 | |
| D0190 | <1% | 33 | $24.00 | |
| 99000 | <1% | 648 | $2.04 | |
| A4651 | Calibrated microcapillary tube, each | 0% | 2,648 | $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 officialPOWELL, LISA (OWNER)