Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Local Care PLLC

Local Care PLLC was paid $613K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoLOCAL CARE PLLC
HARRIMAN, TN 37748
33aNPI1023275286assigned 05/16/2008
28Total paid$613K
24GClaims20,841
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Tennessee

Rank by total paid#27 of 687
Median peer was paid$15K
This provider vs. median42×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20182,903$93K
20193,777$98K
20202,766$78K
20212,887$83K
20222,800$88K
20233,069$92K
2024incomplete2,639$81K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56% 10,922 9,548 $344K
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 24% 3,864 3,418 $147K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 17% 4,312 3,860 $102K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 190 179 $5K
90756 <1% 301 289 $4K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 38 38 $2K
99497 <1% 38 38 $2K
G0008 Administration of influenza virus vaccine <1% 320 307 $1K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 17 17 $1K
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 <1% 18 17 $888.77
3074F <1% 207 196 $530.00
99201 <1% 17 16 $456.03
11 more codes
96160 <1% 38 $417.52
3078F <1% 138 $370.00
3079F <1% 111 $350.00
3080F <1% 100 $320.00
90661 <1% 15 $262.28
3077F <1% 46 $160.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 16 $159.66
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 12 $141.91
3075F <1% 39 $100.00
36415 Collection of venous blood by venipuncture <1% 57 $82.90
99050 <1% 25 $61.60

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, MARIA (FNP)