Agency
Omni Community Health
Omni Community Health was paid $752K by Medicaid between Jan 2018 and Sep 2020, across 13 billing codes. Its largest line is S0280, Medical home program, comprehensive care coordination and planning, initial plan — 83% of everything it billed.
33Billing provider infoOMNI COMMUNITY HEALTH
LAWRENCEBURG, TN 38464
LAWRENCEBURG, TN 38464
33aNPI1134373970assigned 11/06/2008
33bProvider typeCase Management Agency
28Total paid$752K
24GClaims13,355
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Case Management Agency providers in Tennessee
Rank by total paid#12 of 24
Median peer was paid$588K
This provider vs. median1.3×
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 | 5,534 | $299K | |
| 2019 | 4,845 | $271K | |
| 2020 | 2,976 | $182K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 83% | 4,081 | 3,533 | $625K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 8.4% | 1,796 | 1,319 | $63K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.4% | 1,789 | 1,663 | $48K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.2% | 199 | 194 | $9K |
| 90836 | <1% | 82 | 82 | $3K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 126 | 124 | $2K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 60 | 52 | $1K |
| 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 | <1% | 36 | 35 | $710.32 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 17 | 12 | $334.18 |
| G9010 | Coordinated care fee, risk adjusted maintenance, level 4 | 0% | 2,309 | 1,803 | $0.00 |
| G9004 | Coordinated care fee, risk adjusted low, initial | 0% | 2,640 | 2,032 | $0.00 |
| G9005 | Coordinated care fee, risk adjusted maintenance | 0% | 206 | 145 | $0.00 |
1 more codes
| 3074F | 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 officialJUST, MARK (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Omni Community Health | Nashville, TN | $18.18M |
| Omni Community Health | Cookeville, TN | $1.60M |
| Omni Community Health | Memphis, TN | $1.47M |
| Omni Community Health | Murfreesboro, TN | $496K |
| Omni Community Health | Lebanon, TN | $388K |
| Omni Community Health | Franklin, TN | $134K |
| Omni Community Health | Goodlettsville, TN | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.