Advanced Primary Care LLC

Advanced Primary Care LLC was paid $107K by Medicaid between Jan 2018 and Aug 2019, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.

33Billing provider infoADVANCED PRIMARY CARE LLC
MEMPHIS, TN 38115

33aNPI1033249974assigned 03/07/2007

33bProvider typePrimary Care Clinic/Center

28Total paid$107K

24GClaims4,372

24DCodes billed13

24AFirst – last monthJan 2018 – Aug 2019

Compared with peers

Next to other Primary Care Clinic/Center providers in Tennessee

Rank by total paid#69 of 139

Median peer was paid$101K

This provider vs. median1.1×

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 JONES, MICHAEL controls 15+ related entities in our dataset. Read more

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	4,267	$106K
2019	105	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	40%	1,010	687	$43K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	736	496	$22K
99401		15%	795	513	$16K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	11%	237	181	$12K
99242		7.2%	192	107	$8K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.3%	159	114	$2K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.1%	16	14	$1K
81000		<1%	463	331	$887.43
36415	Collection of venous blood by venipuncture	<1%	447	307	$575.65
81025		<1%	95	65	$383.39
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	28	16	$372.26
82962		<1%	103	57	$120.79

1 more codes

82948

<1%

$117.55

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 officialJONES, MICHAEL (EXECUTIVE DIRECTOR)

Same official

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