Sain, Paul

Sain, Paul was paid $91K by Medicaid between Jan 2018 and Dec 2020, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.

33Billing provider infoSAIN, PAUL
FAYETTEVILLE, TN 37334

33aNPI1023086675assigned 03/09/2006

33bProvider typeFamily Medicine Physician

28Total paid$91K

24GClaims5,017

24DCodes billed14

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#257 of 754

Median peer was paid$34K

This provider vs. median2.7×

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	1,884	$35K
2019	1,980	$32K
2020	1,153	$23K

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	85%	2,432	1,936	$77K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.5%	252	210	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	3.3%	390	318	$3K
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	2.5%	71	66	$2K
90686		1.8%	227	196	$2K
80305		1.4%	404	341	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.2%	55	41	$1K
36415	Collection of venous blood by venipuncture	<1%	611	511	$509.14
96127		<1%	93	35	$200.14
87400		<1%	40	13	$129.58
G0008	Administration of influenza virus vaccine	<1%	85	80	$15.42
4004F		0%	254	210	$0.00

2 more codes

3288F		0%	32	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	71	$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.