Physician
Pediatric Associates of Davidson County, P.C.
Pediatric Associates of Davidson County, P.C. was paid $5.84M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES OF DAVIDSON COUNTY, P.C.
NASHVILLE, TN 37203
NASHVILLE, TN 37203
33aNPI1982777140assigned 11/16/2006
33bProvider typePediatrics Physician
28Total paid$5.84M
24GClaims233,122
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#18 of 333
Median peer was paid$139K
This provider vs. median42×
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 | 29,187 | $782K | |
| 2019 | 34,023 | $908K | |
| 2020 | 29,538 | $780K | |
| 2021 | 33,187 | $920K | |
| 2022 | 40,515 | $935K | |
| 2023 | 35,607 | $800K | |
| 2024incomplete | 31,065 | $714K |
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 | 18% | 24,180 | 21,048 | $1.04M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 17% | 22,412 | 19,004 | $1.02M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 11,049 | 9,435 | $755K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 10,625 | 9,120 | $657K |
| 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 | 11% | 10,030 | 8,902 | $648K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 9.3% | 19,535 | 16,730 | $542K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.2% | 4,462 | 3,763 | $302K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 4,158 | 3,569 | $114K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.6% | 13,712 | 11,226 | $94K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 1,220 | 1,006 | $88K |
| 96161 | 1.5% | 6,418 | 5,761 | $85K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 1,079 | 974 | $57K |
52 more codes
| 54150 | <1% | 387 | $53K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,083 | $52K |
| 92551 | <1% | 5,919 | $46K | |
| 96127 | <1% | 9,420 | $44K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,629 | $34K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,092 | $31K |
| 96160 | <1% | 1,992 | $27K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 736 | $25K |
| 3008F | <1% | 18,370 | $22K | |
| 36416 | <1% | 14,074 | $15K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,066 | $14K |
| 99177 | <1% | 2,268 | $12K | |
| 83655 | <1% | 702 | $7K | |
| 90670 | <1% | 6,222 | $7K | |
| 99173 | <1% | 1,397 | $6K | |
| 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% | 198 | $5K |
| 90698 | <1% | 7,436 | $5K | |
| 99401 | <1% | 395 | $4K | |
| Q3014 | Telehealth originating site facility fee | <1% | 187 | $4K |
| 90686 | <1% | 6,089 | $3K | |
| 90680 | <1% | 4,115 | $2K | |
| 81003 | <1% | 1,258 | $2K | |
| 90677 | <1% | 1,138 | $2K | |
| 90716 | <1% | 1,130 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 132 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 79 | $2K |
| 90707 | <1% | 1,096 | $1K | |
| 87428 | <1% | 24 | $1K | |
| D0190 | <1% | 91 | $1K | |
| 96380 | <1% | 52 | $946.71 | |
| 90651 | <1% | 144 | $867.67 | |
| 90619 | <1% | 128 | $647.67 | |
| 90633 | <1% | 1,582 | $435.64 | |
| 87807 | <1% | 48 | $424.14 | |
| 90744 | <1% | 2,483 | $396.55 | |
| 90620 | <1% | 16 | $259.78 | |
| 90661 | <1% | 680 | $199.34 | |
| 90696 | <1% | 111 | $189.34 | |
| 90672 | <1% | 214 | $188.16 | |
| 82465 | <1% | 66 | $139.46 | |
| 85014 | <1% | 36 | $78.24 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 45 | $72.35 |
| 99000 | <1% | 4,916 | $16.32 | |
| 94760 | <1% | 15 | $7.79 | |
| 90381 | <1% | 32 | $0.04 | |
| 90632 | <1% | 29 | $0.01 | |
| 90685 | 0% | 467 | $0.00 | |
| 99072 | 0% | 311 | $0.00 | |
| 5250F | 0% | 74 | $0.00 | |
| 90715 | 0% | 38 | $0.00 | |
| 90674 | 0% | 17 | $0.00 | |
| 90656 | 0% | 13 | $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 officialKEOWN, MARY (PRESIDENT)
Parent organizationPEDIATRIC ASSOCIATES OF DAVIDSON COUNTY, PC