Physician
Crockett Medical Clinic INC
Crockett Medical Clinic INC was paid $2.23M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoCROCKETT MEDICAL CLINIC INC
ALAMO, TN 38001
ALAMO, TN 38001
33aNPI1104839703assigned 08/14/2006
33bProvider typeFamily Medicine Physician
28Total paid$2.23M
24GClaims198,341
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#28 of 754
Median peer was paid$34K
This provider vs. median66×
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 | 30,772 | $364K | |
| 2019 | 26,921 | $349K | |
| 2020 | 24,421 | $291K | |
| 2021 | 26,050 | $336K | |
| 2022 | 29,630 | $320K | |
| 2023 | 32,858 | $329K | |
| 2024incomplete | 27,689 | $240K |
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 | 48% | 23,738 | 20,399 | $1.08M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 17,625 | 15,595 | $622K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 7.2% | 9,723 | 5,169 | $160K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 3.8% | 3,804 | 3,067 | $84K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.7% | 2,673 | 2,457 | $81K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 4,574 | 4,180 | $40K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 3,429 | 1,646 | $38K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.5% | 3,597 | 3,099 | $33K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.2% | 5,586 | 4,907 | $27K |
| 36415 | Collection of venous blood by venipuncture | <1% | 13,307 | 11,400 | $14K |
| 1160F | <1% | 32,062 | 26,629 | $11K | |
| 3008F | <1% | 16,372 | 14,095 | $5K |
28 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 203 | $5K |
| 3078F | <1% | 9,261 | $4K | |
| 3074F | <1% | 9,276 | $4K | |
| 87428 | <1% | 67 | $4K | |
| 1126F | <1% | 3,683 | $3K | |
| 1125F | <1% | 3,531 | $3K | |
| 92552 | <1% | 186 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 30 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 92 | $1K |
| 81002 | <1% | 562 | $994.97 | |
| 99173 | <1% | 209 | $958.36 | |
| 96127 | <1% | 260 | $945.17 | |
| 99307 | <1% | 67 | $545.59 | |
| 3079F | <1% | 1,227 | $520.00 | |
| 81025 | <1% | 112 | $518.89 | |
| 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% | 356 | $486.26 |
| 90686 | <1% | 79 | $456.17 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 94 | $372.30 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 978 | $349.60 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 20 | $249.47 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 71 | $130.14 |
| 3075F | <1% | 648 | $110.37 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 12 | $47.35 |
| 1159F | <1% | 4,664 | $10.05 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 26,005 | $0.02 |
| 3077F | 0% | 39 | $0.00 | |
| 1170F | 0% | 105 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | $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 officialCROOM, RITA (CFO)