Pediatric Consultants of Lenoir City
Pediatric Consultants of Lenoir City was paid $1.80M by Medicaid between Jan 2018 and Jul 2023, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.
33Billing provider infoPEDIATRIC CONSULTANTS OF LENOIR CITY
LENOIR CITY, TN 37772
LENOIR CITY, TN 37772
33aNPI1992940761assigned 12/09/2008
33bProvider typeLegal Medicine
28Total paid$1.80M
24GClaims93,414
24DCodes billed51
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Legal Medicine providers in Tennessee
Rank by total paid#2 of 16
Median peer was paid$110K
This provider vs. median16×
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 | 13,057 | $313K | |
| 2019 | 17,661 | $387K | |
| 2020 | 19,274 | $326K | |
| 2021 | 17,888 | $334K | |
| 2022 | 19,281 | $322K | |
| 2023 | 6,253 | $113K |
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% | 6,881 | 5,871 | $332K |
| 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 | 13% | 3,127 | 2,739 | $235K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 5,842 | 4,920 | $232K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 2,467 | 2,136 | $191K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.4% | 2,209 | 1,869 | $168K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.4% | 1,827 | 1,593 | $132K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.4% | 978 | 792 | $80K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.0% | 3,459 | 2,158 | $73K |
| 92552 | 3.9% | 3,474 | 2,892 | $71K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.1% | 5,117 | 4,286 | $38K |
| 96127 | 1.5% | 6,283 | 3,453 | $27K | |
| 99401 | 1.1% | 951 | 600 | $20K |
39 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 1,236 | $19K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,603 | $18K |
| 99173 | <1% | 3,384 | $16K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 439 | $16K |
| 96161 | <1% | 1,197 | $16K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,307 | $15K |
| 99177 | <1% | 1,763 | $13K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 391 | $12K |
| 81003 | <1% | 3,838 | $8K | |
| 36416 | <1% | 5,163 | $7K | |
| 83655 | <1% | 529 | $6K | |
| 1159F | <1% | 5,674 | $6K | |
| 1160F | <1% | 5,674 | $6K | |
| 3008F | <1% | 4,898 | $6K | |
| 96160 | <1% | 461 | $5K | |
| 80061 | Lipid panel | <1% | 366 | $5K |
| 90461 | <1% | 2,666 | $4K | |
| 90670 | <1% | 1,354 | $3K | |
| 90686 | <1% | 3,900 | $3K | |
| 90716 | <1% | 184 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 37 | $1K |
| 90707 | <1% | 184 | $1K | |
| 0072A | <1% | 34 | $1K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 13 | $1K |
| 90651 | <1% | 36 | $867.66 | |
| 87807 | <1% | 91 | $830.85 | |
| 97802 | <1% | 61 | $788.08 | |
| 0071A | <1% | 12 | $480.00 | |
| 94760 | <1% | 1,823 | $470.23 | |
| 90734 | <1% | 72 | $442.95 | |
| 90680 | <1% | 404 | $415.28 | |
| 90723 | <1% | 177 | $411.78 | |
| 90633 | <1% | 450 | $392.06 | |
| 90648 | <1% | 750 | $251.86 | |
| 90681 | 0% | 140 | $0.00 | |
| 90685 | 0% | 102 | $0.00 | |
| 3048F | 0% | 168 | $0.00 | |
| 90698 | 0% | 121 | $0.00 | |
| 91307 | 0% | 97 | $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 officialMOOSS, SUNEETHA (MD)