Clinic
Spring City Family Clinic PLLC
Spring City Family Clinic PLLC was paid $109K by Medicaid between Jan 2021 and May 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.
33Billing provider infoSPRING CITY FAMILY CLINIC PLLC
SPRING CITY, TN 37381
SPRING CITY, TN 37381
33aNPI1023631454assigned 05/20/2020
33bProvider typeRural Health Clinic/Center
28Total paid$109K
24GClaims5,261
24DCodes billed9
24AFirst – last monthJan 2021 – May 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Tennessee
Rank by total paid#53 of 96
Median peer was paid$127K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2021 | 1,591 | $28K | |
| 2022 | 1,425 | $34K | |
| 2023 | 1,590 | $35K | |
| 2024incomplete | 655 | $12K |
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 | 86% | 4,049 | 2,679 | $93K |
| 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 | 6.4% | 199 | 143 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.9% | 160 | 97 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.4% | 164 | 137 | $1K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 18 | 12 | $998.41 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 51 | 30 | $966.21 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 79 | 59 | $449.65 |
| 36415 | Collection of venous blood by venipuncture | <1% | 493 | 356 | $410.46 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 48 | 34 | $62.36 |
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 officialGIBSON, JOY (OWNER)