Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TN › SMYRNA › SMYRNA PEDIATRICS PLLC

SMYRNA PEDIATRICS PLLC

NPI: 1992183271 · SMYRNA, TN 37167 · Pediatrics Physician · NPI assigned 05/07/2015

$3.70M
Total Medicaid Paid
180,206
Total Claims
151,433
Beneficiaries
72
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRICAFORT, RACHEL (MD/OWNER)
NPI Enumeration Date05/07/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,954 $398K
2019 28,068 $557K
2020 20,090 $369K
2021 27,129 $486K
2022 29,629 $604K
2023 32,129 $693K
2024 23,207 $595K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,558 9,487 $684K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,116 11,320 $547K
90460 Immunization administration through 18 years of age via any route, first or only component 14,009 11,700 $523K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,820 5,108 $381K
96110 Developmental screening, with scoring and documentation, per standardized instrument 17,172 13,438 $354K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,407 3,918 $266K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,688 3,253 $242K
96160 10,702 9,205 $179K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,816 1,568 $129K
92551 8,457 7,177 $57K
96161 4,375 3,693 $42K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,847 1,776 $37K
99381 539 427 $31K
99177 5,285 4,626 $29K
99173 6,772 5,772 $25K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,831 2,463 $24K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 604 488 $15K
96127 3,893 3,195 $14K
99383 194 164 $13K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 342 301 $12K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 553 478 $12K
3008F 8,095 6,827 $11K
90651 859 699 $9K
90670 3,201 2,784 $7K
90734 596 505 $5K
99174 953 817 $5K
99050 287 257 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 53 45 $3K
36415 Collection of venous blood by venipuncture 2,021 1,726 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 375 354 $3K
90381 25 24 $3K
90686 4,351 3,849 $3K
36416 2,405 1,974 $3K
D1206 Topical application of fluoride varnish 154 136 $2K
99215 Prolong outpt/office vis 26 25 $2K
90710 426 388 $2K
90677 831 779 $2K
81003 1,195 954 $2K
87807 224 195 $2K
90723 2,891 2,560 $1K
90633 2,002 1,719 $1K
99384 16 13 $1K
99382 12 12 $992.85
90681 1,466 1,285 $780.78
90647 2,935 2,608 $778.59
92567 72 64 $755.22
96380 35 34 $590.16
90696 384 353 $520.44
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 37 37 $423.37
85018 216 172 $358.22
92552 21 15 $320.50
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 14,552 12,288 $319.98
90700 410 368 $204.49
90621 14 12 $199.61
90715 146 126 $184.15
99051 70 59 $171.60
90620 63 54 $160.75
D0190 20 13 $136.86
90716 487 422 $130.66
90656 91 89 $48.75
90707 417 367 $37.65
94760 47 44 $20.66
4120F 243 219 $0.00
5250F 543 476 $0.00
4124F 2,695 2,374 $0.00
3210F 2,318 2,043 $0.00
99072 101 95 $0.00
90685 113 95 $0.00
99000 1,613 1,415 $0.00
1038F 28 26 $0.00
1005F 59 51 $0.00
90688 32 30 $0.00