Physician
James W Martin MD LLC
James W Martin MD LLC was paid $23K by Medicaid between May 2018 and Oct 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoJAMES W MARTIN MD LLC
COVINGTON, TN 38019
COVINGTON, TN 38019
33aNPI1013195767assigned 02/05/2008
33bProvider typeFamily Medicine Physician
28Total paid$23K
24GClaims1,449
24DCodes billed7
24AFirst – last monthMay 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#428 of 754
Median peer was paid$34K
This provider vs. median0.7×
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 | 82 | $1K | |
| 2019 | 262 | $3K | |
| 2020 | 211 | $4K | |
| 2021 | 191 | $3K | |
| 2022 | 360 | $7K | |
| 2023 | 193 | $3K | |
| 2024incomplete | 150 | $2K |
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 | 57% | 478 | 389 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 348 | 285 | $9K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.1% | 26 | 20 | $706.60 |
| 36415 | Collection of venous blood by venipuncture | 1.5% | 412 | 329 | $338.87 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 19 | 13 | $213.79 |
| 81003 | <1% | 93 | 64 | $76.96 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 73 | 53 | $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 officialMARTIN, KAREN (OFFICE MANAGER/ FNP)
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| Peninsula Hearing Services, INC. | Soldotna, AK | $52K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.