Physician
Cookeville Regional Medical Center
Cookeville Regional Medical Center was paid $1.13M by Medicaid between Jan 2018 and Oct 2024, across 33 billing codes. Its largest line is 99238, Hospital discharge day management, 30 minutes or less — 19% of everything it billed.
33Billing provider infoCOOKEVILLE REGIONAL MEDICAL CENTER
COOKEVILLE, TN 38501
COOKEVILLE, TN 38501
33aNPI1023397031assigned 08/08/2011
33bProvider typeCardiovascular Disease Physician
28Total paid$1.13M
24GClaims43,027
24DCodes billed33
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Tennessee
Rank by total paid#6 of 136
Median peer was paid$21K
This provider vs. median53×
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 | 15,381 | $321K | |
| 2019 | 11,562 | $302K | |
| 2020 | 5,040 | $179K | |
| 2021 | 4,740 | $162K | |
| 2022 | 3,380 | $106K | |
| 2023 | 1,867 | $35K | |
| 2024incomplete | 1,057 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99238 | Hospital discharge day management, 30 minutes or less | 19% | 5,495 | 4,756 | $211K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 18% | 14,581 | 6,198 | $207K |
| 99460 | 14% | 3,749 | 3,337 | $154K | |
| 54150 | 12% | 1,133 | 934 | $133K | |
| 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 | 9.8% | 5,454 | 4,281 | $110K |
| 99223 | Prolong inpt eval add15 m | 5.3% | 1,291 | 1,087 | $60K |
| 99462 | 5.3% | 2,817 | 2,117 | $59K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.5% | 1,817 | 976 | $39K |
| 99464 | 3.3% | 819 | 677 | $37K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 2,537 | 2,068 | $36K |
| 99219 | 1.4% | 676 | 553 | $16K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.3% | 530 | 453 | $15K |
21 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 585 | $10K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 205 | $10K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 141 | $7K |
| 36569 | <1% | 73 | $5K | |
| 99220 | <1% | 132 | $4K | |
| 99217 | <1% | 199 | $3K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 278 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 50 | $2K |
| 99225 | <1% | 76 | $2K | |
| 99218 | <1% | 43 | $1K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 13 | $1K |
| 99226 | <1% | 17 | $527.28 | |
| 99221 | <1% | 19 | $486.86 | |
| 95816 | <1% | 15 | $341.14 | |
| 76937 | <1% | 72 | $283.56 | |
| 99441 | <1% | 18 | $153.27 | |
| 3078F | 0% | 19 | $0.00 | |
| 1160F | 0% | 64 | $0.00 | |
| 1159F | 0% | 36 | $0.00 | |
| 3008F | 0% | 60 | $0.00 | |
| 1036F | 0% | 13 | $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 officialKEY, MARILYN (CEO)
Parent organizationCOOKEVILLE REGIONAL MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| Cookeville Regional Medical Center | Cookeville, TN | $17.12M |
| Cookeville Regional Medical Group, INC | Cookeville, TN | $1.82M |
| CRMC Mso Sub 1, Incorporated | Cookeville, TN | $651K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.