Physician
Primary Care Pediatrics
Primary Care Pediatrics was paid $3.42M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoPRIMARY CARE PEDIATRICS
MILLINGTON, TN 38053
MILLINGTON, TN 38053
33aNPI1972723567assigned 04/26/2007
33bProvider typePediatrics Physician
28Total paid$3.42M
24GClaims145,734
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#33 of 333
Median peer was paid$139K
This provider vs. median25×
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 | 16,569 | $350K | |
| 2019 | 19,766 | $440K | |
| 2020 | 9,965 | $216K | |
| 2021 | 24,679 | $533K | |
| 2022 | 26,309 | $624K | |
| 2023 | 25,620 | $648K | |
| 2024incomplete | 22,826 | $608K |
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 | 31% | 24,057 | 21,836 | $1.06M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 17% | 13,354 | 11,911 | $573K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 6,768 | 6,085 | $482K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.6% | 5,110 | 4,680 | $328K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.0% | 3,489 | 3,033 | $241K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.2% | 4,094 | 3,615 | $109K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.0% | 1,352 | 1,176 | $104K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.0% | 3,738 | 3,462 | $101K |
| 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 | 2.1% | 1,105 | 1,028 | $73K |
| 87428 | 2.1% | 1,326 | 1,284 | $70K | |
| 96127 | 1.0% | 8,996 | 7,909 | $35K | |
| 92551 | <1% | 4,124 | 3,704 | $29K |
46 more codes
| 99173 | <1% | 5,418 | $22K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,424 | $21K |
| 96161 | <1% | 1,392 | $19K | |
| 87430 | <1% | 1,656 | $18K | |
| 99381 | <1% | 240 | $15K | |
| 96160 | <1% | 1,967 | $14K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,038 | $13K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 574 | $13K |
| 83655 | <1% | 1,233 | $12K | |
| 3008F | <1% | 10,778 | $12K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,215 | $10K |
| 90677 | <1% | 725 | $7K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 177 | $5K |
| 90461 | <1% | 7,272 | $5K | |
| 90670 | <1% | 3,648 | $5K | |
| 90651 | <1% | 696 | $4K | |
| 36416 | <1% | 3,369 | $4K | |
| 90716 | <1% | 1,471 | $2K | |
| 87420 | <1% | 177 | $2K | |
| 90686 | <1% | 4,344 | $2K | |
| 90707 | <1% | 1,481 | $1K | |
| 90633 | <1% | 1,836 | $802.49 | |
| 90734 | <1% | 187 | $754.51 | |
| 90723 | <1% | 1,655 | $700.12 | |
| 94760 | <1% | 630 | $610.61 | |
| 90681 | <1% | 1,336 | $549.81 | |
| 87807 | <1% | 42 | $364.32 | |
| 81002 | <1% | 183 | $332.83 | |
| 90648 | <1% | 3,021 | $330.08 | |
| 96380 | <1% | 14 | $291.09 | |
| 87400 | <1% | 22 | $284.40 | |
| 85018 | <1% | 108 | $244.32 | |
| 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% | 39 | $224.00 |
| 90696 | <1% | 154 | $155.53 | |
| 90698 | <1% | 152 | $111.30 | |
| 90656 | <1% | 99 | $42.79 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 14 | $25.30 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 69 | $20.39 |
| 90674 | 0% | 301 | $0.00 | |
| 99000 | 0% | 5,397 | $0.00 | |
| 90381 | 0% | 14 | $0.00 | |
| 90700 | 0% | 79 | $0.00 | |
| 90661 | 0% | 452 | $0.00 | |
| 90685 | 0% | 77 | $0.00 | |
| 99051 | 0% | 18 | $0.00 | |
| 90715 | 0% | 27 | $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 officialALGEA, JANICE (MD/OWNER)