Physician
Smyrna Pediatrics PLLC
Smyrna Pediatrics PLLC was paid $3.70M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 18% of everything it billed.
33Billing provider infoSMYRNA PEDIATRICS PLLC
SMYRNA, TN 37167
SMYRNA, TN 37167
33aNPI1992183271assigned 05/07/2015
33bProvider typePediatrics Physician
28Total paid$3.70M
24GClaims180,206
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#32 of 333
Median peer was paid$139K
This provider vs. median27×
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 | 19,954 | $398K | |
| 2019 | 28,068 | $557K | |
| 2020 | 20,090 | $369K | |
| 2021 | 27,129 | $486K | |
| 2022 | 29,629 | $604K | |
| 2023 | 32,129 | $693K | |
| 2024incomplete | 23,207 | $595K |
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 | 18% | 11,558 | 9,487 | $684K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 13,116 | 11,320 | $547K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 14,009 | 11,700 | $523K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 5,820 | 5,108 | $381K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 9.6% | 17,172 | 13,438 | $354K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.2% | 4,407 | 3,918 | $266K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 3,688 | 3,253 | $242K |
| 96160 | 4.8% | 10,702 | 9,205 | $179K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.5% | 1,816 | 1,568 | $129K |
| 92551 | 1.5% | 8,457 | 7,177 | $57K | |
| 96161 | 1.1% | 4,375 | 3,693 | $42K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 3,847 | 1,776 | $37K |
60 more codes
| 99381 | <1% | 539 | $31K | |
| 99177 | <1% | 5,285 | $29K | |
| 99173 | <1% | 6,772 | $25K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,831 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 604 | $15K |
| 96127 | <1% | 3,893 | $14K | |
| 99383 | <1% | 194 | $13K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 342 | $12K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 553 | $12K |
| 3008F | <1% | 8,095 | $11K | |
| 90651 | <1% | 859 | $9K | |
| 90670 | <1% | 3,201 | $7K | |
| 90734 | <1% | 596 | $5K | |
| 99174 | <1% | 953 | $5K | |
| 99050 | <1% | 287 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 53 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,021 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 375 | $3K |
| 90381 | <1% | 25 | $3K | |
| 90686 | <1% | 4,351 | $3K | |
| 36416 | <1% | 2,405 | $3K | |
| D1206 | Topical application of fluoride varnish | <1% | 154 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 26 | $2K |
| 90710 | <1% | 426 | $2K | |
| 90677 | <1% | 831 | $2K | |
| 81003 | <1% | 1,195 | $2K | |
| 87807 | <1% | 224 | $2K | |
| 90723 | <1% | 2,891 | $1K | |
| 90633 | <1% | 2,002 | $1K | |
| 99384 | <1% | 16 | $1K | |
| 99382 | <1% | 12 | $992.85 | |
| 90681 | <1% | 1,466 | $780.78 | |
| 90647 | <1% | 2,935 | $778.59 | |
| 92567 | <1% | 72 | $755.22 | |
| 96380 | <1% | 35 | $590.16 | |
| 90696 | <1% | 384 | $520.44 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 37 | $423.37 |
| 85018 | <1% | 216 | $358.22 | |
| 92552 | <1% | 21 | $320.50 | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 14,552 | $319.98 |
| 90700 | <1% | 410 | $204.49 | |
| 90621 | <1% | 14 | $199.61 | |
| 90715 | <1% | 146 | $184.15 | |
| 99051 | <1% | 70 | $171.60 | |
| 90620 | <1% | 63 | $160.75 | |
| D0190 | <1% | 20 | $136.86 | |
| 90716 | <1% | 487 | $130.66 | |
| 90656 | <1% | 91 | $48.75 | |
| 90707 | <1% | 417 | $37.65 | |
| 94760 | <1% | 47 | $20.66 | |
| 4120F | 0% | 243 | $0.00 | |
| 5250F | 0% | 543 | $0.00 | |
| 4124F | 0% | 2,695 | $0.00 | |
| 3210F | 0% | 2,318 | $0.00 | |
| 99072 | 0% | 101 | $0.00 | |
| 90685 | 0% | 113 | $0.00 | |
| 99000 | 0% | 1,613 | $0.00 | |
| 1038F | 0% | 28 | $0.00 | |
| 1005F | 0% | 59 | $0.00 | |
| 90688 | 0% | 32 | $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 officialRICAFORT, RACHEL (MD/OWNER)