Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Gatlinburg › NPI 1023621646
Physician

Access Medical Clinic LLC

Access Medical Clinic LLC was paid $27K by Medicaid between May 2021 and Nov 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoACCESS MEDICAL CLINIC LLC
GATLINBURG, TN 37738
33aNPI1023621646assigned 08/24/2020
28Total paid$27K
24GClaims12,289
24DCodes billed24
24AFirst – last monthMay 2021 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#408 of 754
Median peer was paid$34K
This provider vs. median0.8×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official YORK, MONYA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
2021282$4K
2022457$3K
20237,203$13K
2024incomplete4,347$8K
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 51% 1,795 1,393 $14K
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 25% 310 241 $7K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 9.6% 295 233 $3K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 5.3% 119 78 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3.1% 400 292 $850.46
99383 2.2% 17 16 $601.71
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.5% 37 30 $399.20
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 217 163 $264.30
90836 <1% 18 12 $154.19
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 35 23 $87.78
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 385 296 $84.14
3079F <1% 440 333 $60.00
12 more codes
99203 Doctor's office visit, new patient (routine) <1% 83 $53.81
3074F <1% 970 $40.00
3078F <1% 449 $30.00
3008F 0% 2,209 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 0% 19 $0.00
3075F 0% 17 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 69 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 0% 104 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 17 $0.00
1160F 0% 2,134 $0.00
1159F 0% 2,132 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 0% 18 $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 officialYORK, MONYA (CONTROLLER)
Same official

Other billing entities under YORK, MONYA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.