Physician
Statcare Outpatient, LLC
Statcare Outpatient, LLC was paid $516K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoSTATCARE OUTPATIENT, LLC
KNOXVILLE, TN 37919
KNOXVILLE, TN 37919
33aNPI1134653892assigned 04/19/2017
33bProvider typeInternal Medicine Physician
28Total paid$516K
24GClaims40,745
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Tennessee
Rank by total paid#57 of 581
Median peer was paid$15K
This provider vs. median34×
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 | 4,140 | $40K | |
| 2019 | 4,583 | $51K | |
| 2020 | 3,273 | $36K | |
| 2021 | 6,726 | $79K | |
| 2022 | 7,281 | $100K | |
| 2023 | 8,330 | $129K | |
| 2024incomplete | 6,412 | $82K |
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 | 46% | 9,620 | 7,664 | $238K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 8,764 | 7,097 | $159K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.7% | 841 | 662 | $34K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 3.1% | 209 | 186 | $16K |
| 94729 | 3.0% | 1,264 | 1,055 | $15K | |
| 71046 | Radiologic examination, chest; 2 views | 2.0% | 1,261 | 952 | $10K |
| 94010 | 1.8% | 808 | 663 | $9K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.6% | 152 | 123 | $8K |
| 95811 | 1.6% | 124 | 111 | $8K | |
| 95806 | 1.0% | 116 | 100 | $5K | |
| 94727 | 1.0% | 320 | 249 | $5K | |
| 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% | 1,010 | 682 | $3K |
10 more codes
| 94726 | <1% | 234 | $2K | |
| 94060 | <1% | 106 | $931.98 | |
| 96401 | <1% | 37 | $649.52 | |
| 99406 | <1% | 80 | $413.48 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $410.76 |
| 99205 | Prolong outpt/office vis | <1% | 19 | $294.02 |
| 94664 | <1% | 52 | $210.93 | |
| 99441 | <1% | 27 | $84.50 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 15,671 | $5.40 |
| G0008 | Administration of influenza virus vaccine | 0% | 16 | $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 officialDOERS, JESSE (MD)
| Provider | Location | Paid |
|---|---|---|
| Statcare Inpatient LLC | Knoxville, TN | $2.44M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.