Memphis Street Pediatrics LLC

Memphis Street Pediatrics LLC was paid $4.00M by Medicaid between Jul 2018 and Dec 2024, across 83 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.

33Billing provider infoMEMPHIS STREET PEDIATRICS LLC
PHILADELPHIA, PA 19134

33aNPI1992800940assigned 09/14/2006

33bProvider typePediatrics Physician

28Total paid$4.00M

24GClaims133,694

24DCodes billed83

24AFirst – last monthJul 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#15 of 1,257

Median peer was paid$45K

This provider vs. median88×

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	179	$11K
2019	427	$31K
2020	11,679	$284K
2021	38,548	$868K
2022	34,734	$835K
2023	28,251	$1.15M
2024incomplete	19,876	$825K

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	32%	15,754	13,983	$1.30M
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	9.6%	3,444	3,345	$385K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	9.3%	3,097	3,015	$372K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	9.0%	3,113	3,010	$359K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	6.9%	2,595	2,353	$278K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.5%	4,519	4,173	$258K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	4.2%	1,388	1,318	$169K
92552		1.9%	2,998	2,903	$78K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.9%	2,114	1,999	$78K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.5%	565	528	$62K
Q3014	Telehealth originating site facility fee	1.4%	3,064	2,790	$58K
99383		1.3%	437	432	$52K

71 more codes

99188		1.3%	2,369	$51K
90460	Immunization administration through 18 years of age via any route, first or only component	1.2%	10,306	$49K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.2%	5,641	$48K
S9451	Exercise classes, non-physician provider, per session	1.1%	1,975	$46K
99384		<1%	324	$39K
99499		<1%	959	$27K
92551		<1%	2,425	$22K
99382		<1%	190	$21K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	176	$21K
90686		<1%	4,016	$18K
96127		<1%	4,242	$18K
0001A		<1%	391	$14K
S9470	Nutritional counseling, dietitian visit	<1%	2,772	$13K
99050		<1%	396	$12K
0071A		<1%	328	$12K
99381		<1%	116	$11K
0002A		<1%	255	$10K
90461		<1%	2,576	$10K
90651		<1%	1,291	$8K
0072A		<1%	203	$8K
90698		<1%	1,681	$7K
99173		<1%	4,651	$7K
96160		<1%	2,973	$7K
90670		<1%	1,522	$6K
99177		<1%	751	$6K
90619		<1%	657	$6K
90710		<1%	457	$5K
90620		<1%	1,220	$5K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	346	$4K
96161		<1%	1,712	$4K
90680		<1%	960	$3K
90633		<1%	834	$3K
99461		<1%	85	$3K
99203	Doctor's office visit, new patient (routine)	<1%	42	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	255	$3K
90734		<1%	637	$3K
90715		<1%	494	$2K
90656		<1%	300	$2K
90744		<1%	693	$2K
0004A		<1%	58	$2K
99080		<1%	65	$2K
90677		<1%	262	$2K
90696		<1%	207	$1K
36415	Collection of venous blood by venipuncture	<1%	2,608	$1K
0154A		<1%	31	$780.00
0124A		<1%	19	$690.00
90707		<1%	127	$688.68
99051		<1%	1,389	$623.00
90716		<1%	116	$581.96
0074A		<1%	19	$578.00
99174		<1%	136	$574.65
90480		<1%	41	$540.00
99072		<1%	13,448	$528.21
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	25	$480.00
95117		<1%	51	$479.91
81025		<1%	261	$456.40
87070		<1%	692	$414.40
0012A		<1%	14	$367.00
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	35	$281.46
G9919	Screening performed and positive and provision of recommendations	<1%	6,587	$197.10
90697		<1%	76	$141.80
96381		<1%	12	$120.00
81000		<1%	392	$118.62
90381		<1%	21	$40.00
80061	Lipid panel	<1%	1,476	$40.00
83655		<1%	369	$20.00
81002		<1%	19	$3.75
85018		0%	94	$0.00
91307		0%	177	$0.00
85013		0%	106	$0.00
91300		0%	452	$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 officialHOLMES, LOUISE (PRACTICE MANAGER)