Physician
Cleveland Medical Associates, PLLC
Cleveland Medical Associates, PLLC was paid $116K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoCLEVELAND MEDICAL ASSOCIATES, PLLC
CLEVELAND, TN 37312
CLEVELAND, TN 37312
33aNPI1093723330assigned 08/03/2006
33bProvider typeFamily Medicine Physician
28Total paid$116K
24GClaims14,107
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#227 of 754
Median peer was paid$34K
This provider vs. median3.4×
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 | 2,037 | $16K | |
| 2019 | 2,183 | $17K | |
| 2020 | 2,105 | $15K | |
| 2021 | 2,690 | $22K | |
| 2022 | 1,589 | $18K | |
| 2023 | 1,443 | $16K | |
| 2024incomplete | 2,060 | $12K |
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 | 47% | 3,681 | 2,760 | $55K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 1,703 | 1,192 | $21K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 17% | 3,276 | 2,734 | $20K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 15% | 4,020 | 2,568 | $18K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 1.1% | 58 | 39 | $1K |
| 99310 | Prolong nursin fac eval 15m | <1% | 52 | 36 | $879.77 |
| 99306 | Prolong nursin fac eval 15m | <1% | 18 | 13 | $312.89 |
| 99305 | <1% | 18 | 13 | $150.08 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 24 | 20 | $101.91 |
| 3074F | <1% | 119 | 101 | $0.01 | |
| 3078F | <1% | 177 | 153 | $0.01 | |
| 1126F | 0% | 35 | 28 | $0.00 |
6 more codes
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 officialCHILDERS, LISA (PRACTICE ADMINISTRATOR)