Physician
Carelon Medical Partners, PC
Carelon Medical Partners, PC was paid $5K by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoCARELON MEDICAL PARTNERS, PC
NASHVILLE, TN 37214
NASHVILLE, TN 37214
33aNPI1124443403assigned 02/24/2014
33bProvider typeInternal Medicine Physician
28Total paid$5K
24GClaims91,992
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Tennessee
Rank by total paid#390 of 581
Median peer was paid$15K
This provider vs. median0.4×
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 | 5,001 | $3K | |
| 2019 | 2,811 | $12.02 | |
| 2020 | 7,849 | $0.00 | |
| 2021 | 42,313 | $0.00 | |
| 2022 | 18,878 | $2K | |
| 2023 | 11,839 | $0.00 | |
| 2024incomplete | 3,301 | $0.00 |
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 | 55% | 208 | 145 | $3K |
| 99349 | 13% | 5,674 | 3,953 | $675.90 | |
| 99345 | Prolong home eval add 15m | 11% | 1,715 | 1,398 | $573.75 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.8% | 21 | 14 | $473.54 |
| 99344 | 7.1% | 160 | 160 | $378.96 | |
| 99497 | 5.7% | 877 | 702 | $305.48 | |
| 99348 | <1% | 12,772 | 11,892 | $12.02 | |
| 4013F | 0% | 664 | 618 | $0.00 | |
| 3078F | 0% | 5,565 | 4,905 | $0.00 | |
| 0521F | 0% | 477 | 430 | $0.00 | |
| 1159F | 0% | 8,154 | 7,206 | $0.00 | |
| 3077F | 0% | 1,156 | 1,040 | $0.00 |
26 more codes
| 99347 | 0% | 832 | $0.00 | |
| 1158F | 0% | 7,819 | $0.00 | |
| 1160F | 0% | 8,173 | $0.00 | |
| 1090F | 0% | 964 | $0.00 | |
| 99354 | 0% | 1,376 | $0.00 | |
| 3288F | 0% | 1,033 | $0.00 | |
| 99442 | 0% | 25 | $0.00 | |
| 0518F | 0% | 478 | $0.00 | |
| 1100F | 0% | 124 | $0.00 | |
| 99342 | 0% | 15 | $0.00 | |
| 1157F | 0% | 5,409 | $0.00 | |
| 1111F | 0% | 284 | $0.00 | |
| 3074F | 0% | 4,019 | $0.00 | |
| 4010F | 0% | 244 | $0.00 | |
| 1170F | 0% | 8,035 | $0.00 | |
| 1126F | 0% | 5,356 | $0.00 | |
| 3079F | 0% | 818 | $0.00 | |
| 1125F | 0% | 2,405 | $0.00 | |
| 99417 | Prolong home eval add 15m | 0% | 632 | $0.00 |
| 99350 | Prolong home eval add 15m | 0% | 3,242 | $0.00 |
| 1101F | 0% | 650 | $0.00 | |
| 99443 | 0% | 930 | $0.00 | |
| 3008F | 0% | 692 | $0.00 | |
| 3075F | 0% | 693 | $0.00 | |
| 3066F | 0% | 149 | $0.00 | |
| 3080F | 0% | 152 | $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 officialALBION, TIMOTHY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Carelon Medical Partners of North Carolina PC | Raleigh, NC | $398K |
| Albion Medical Group of Nevada, PC | Las Vegas, NV | $268K |
| Carelon Medical Partners of Arizona PC | Des Moines, IA | $7K |
| Carelon Medical Partners of Texas PA | Houston, TX | $139.76 |
| Carelon Medical Partners of Arizona, P.C. | Tucson, AZ | $0.00 |
| Albion Medical Partners of California, PC | Pasadena, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.