Rutherford County Primary Care

Rutherford County Primary Care was paid $3.09M by Medicaid between Jan 2018 and Dec 2024, across 73 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoRUTHERFORD COUNTY PRIMARY CARE
MURFREESBORO, TN 37129

33aNPI1114973237assigned 05/26/2006

33bProvider typeFamily Nurse Practitioner

28Total paid$3.09M

24GClaims161,870

24DCodes billed73

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Tennessee

Rank by total paid#4 of 687

Median peer was paid$15K

This provider vs. median212×

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	10,145	$285K
2019	15,618	$322K
2020	18,912	$301K
2021	36,979	$571K
2022	29,503	$575K
2023	28,736	$604K
2024incomplete	21,977	$431K

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%	35,287	29,501	$1.48M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	35%	34,179	29,093	$1.09M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	2.5%	2,124	1,680	$77K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	1.3%	1,356	1,268	$42K
90460	Immunization administration through 18 years of age via any route, first or only component	1.3%	1,473	969	$39K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.2%	1,830	1,677	$36K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	576	477	$31K
96127		<1%	9,390	7,928	$30K
92587		<1%	1,574	1,449	$30K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	391	352	$26K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	1,104	996	$21K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	307	288	$20K

61 more codes

99204	Doctor's office visit, new patient (more involved)	<1%	256	$19K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	699	$17K
90792	Psychiatric diagnostic evaluation with medical services	<1%	267	$15K
90686		<1%	1,330	$12K
3008F		<1%	44,311	$12K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	170	$11K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	872	$8K
0011A		<1%	236	$8K
0012A		<1%	226	$7K
36415	Collection of venous blood by venipuncture	<1%	4,548	$7K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	634	$5K
90832	Psychotherapy session, about 30 minutes	<1%	179	$4K
99173		<1%	1,642	$4K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	295	$4K
99215	Doctor's office visit, returning patient (complex)	<1%	77	$4K
99406		<1%	562	$3K
97802		<1%	52	$2K
85018		<1%	1,118	$2K
G0467	Community health center visit, returning patient	<1%	273	$2K
0013A		<1%	63	$2K
90791	Psychiatric diagnostic evaluation	<1%	17	$1K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	17	$1K
36416		<1%	776	$1K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	19	$1K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	364	$778.43
87430		<1%	86	$732.37
90697		<1%	18	$708.80
81003		<1%	381	$539.44
90837	Psychotherapy session, about an hour	<1%	16	$483.95
3074F		<1%	1,231	$470.00
90651		<1%	29	$407.30
3079F		<1%	571	$390.12
3078F		<1%	944	$380.00
94760		<1%	1,210	$376.60
81025		<1%	71	$356.18
90461		<1%	322	$148.67
87807		<1%	12	$136.64
90656		<1%	17	$103.86
3077F		<1%	100	$80.00
90480		<1%	14	$75.09
3080F		<1%	30	$60.00
91301		<1%	66	$40.00
3075F		<1%	119	$30.00
G0008	Administration of influenza virus vaccine	<1%	117	$20.98
88738		0%	817	$0.00
99000		0%	4,130	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	196	$0.00
1036F		0%	143	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	44	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	131	$0.00
G8419	Bmi documented outside normal parameters, no follow-up plan documented, no reason given	0%	200	$0.00
1111F		0%	113	$0.00
3044F		0%	15	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	15	$0.00
4037F		0%	51	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	1,660	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	237	$0.00
90715		0%	28	$0.00
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	0%	91	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	37	$0.00
90662		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 officialSMITH, SHANE (FINANCIAL OFFICER)