Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Knoxville › NPI 1114483864
Physician

Ucfa Physicians Network Group of Tennessee

Ucfa Physicians Network Group of Tennessee was paid $821K by Medicaid between Dec 2020 and Dec 2023, across 14 billing codes. Its largest line is 99358, Prolong nursin fac eval 15m — 53% of everything it billed.

33Billing provider infoUCFA PHYSICIANS NETWORK GROUP OF TENNESSEE
KNOXVILLE, TN 37923
33aNPI1114483864assigned 02/19/2019
28Total paid$821K
24GClaims24,667
24DCodes billed14
24AFirst – last monthDec 2020 – Dec 2023
Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#68 of 754
Median peer was paid$34K
This provider vs. median24×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
202074$0.00
2021833$16K
202220,347$766K
20233,413$40K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99358 Prolong nursin fac eval 15m 53% 12,371 1,403 $436K
99359 Prolong nursin fac eval 15m 46% 11,096 1,014 $381K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 50 35 $2K
99490 Ccm add 20min <1% 111 76 $964.74
99454 <1% 41 29 $663.68
99446 <1% 257 82 $490.21
99453 <1% 41 29 $390.91
99423 <1% 150 88 $28.11
99491 Ccm add 20min 0% 57 19 $0.00
99487 Ccm add 20min 0% 52 41 $0.00
99201 0% 40 15 $0.00
99354 0% 34 14 $0.00
2 more codes
99368 0% 192 $0.00
99422 0% 175 $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 officialSTEPHENS, THEO (CHIEF OF THE OFFICE ON HEALTHCARE)