Physician
Hensley, Joseph
Hensley, Joseph was paid $96K by Medicaid between Jan 2018 and Mar 2022, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoHENSLEY, JOSEPH
HOHENWALD, TN 38462
HOHENWALD, TN 38462
33aNPI1043215882assigned 06/17/2005
33bProvider typeFamily Medicine Physician
28Total paid$96K
24GClaims4,362
24DCodes billed11
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#249 of 754
Median peer was paid$34K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2018 | 1,353 | $30K | |
| 2019 | 1,295 | $28K | |
| 2020 | 843 | $20K | |
| 2021 | 721 | $17K | |
| 2022 | 150 | $2K |
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 | 61% | 2,458 | 2,022 | $59K |
| 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 | 33% | 844 | 751 | $31K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 1.5% | 347 | 305 | $1K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 1.4% | 237 | 203 | $1K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.3% | 20 | 14 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.2% | 38 | 33 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 34 | 32 | $341.14 |
| 36415 | Collection of venous blood by venipuncture | <1% | 340 | 315 | $309.82 |
| 90674 | <1% | 13 | 13 | $68.02 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 19 | 16 | $56.82 |
| 81000 | <1% | 12 | 12 | $13.87 |
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.