Managed care
Southstreet Family Medical Center
Southstreet Family Medical Center was paid $281K by Medicaid between Jan 2018 and Mar 2019, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoSOUTHSTREET FAMILY MEDICAL CENTER
NASHVILLE, TN 37236
NASHVILLE, TN 37236
33aNPI1164557856assigned 02/22/2007
33bProvider typePreferred Provider Organization
28Total paid$281K
24GClaims10,337
24DCodes billed28
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Preferred Provider Organization providers in Tennessee
Rank by total paid#4 of 7
Median peer was paid$281K
This provider vs. median1.0×
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 | 9,153 | $235K | |
| 2019 | 1,184 | $46K |
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 | 24% | 1,495 | 1,235 | $67K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 1,673 | 1,485 | $55K |
| 99223 | Prolong inpt eval add15 m | 10.0% | 236 | 190 | $28K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.1% | 504 | 432 | $26K |
| 54160 | 7.9% | 180 | 161 | $22K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.5% | 673 | 630 | $21K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 405 | 391 | $20K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.1% | 313 | 181 | $11K |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.4% | 235 | 187 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.3% | 171 | 170 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 83 | 78 | $4K |
| 1159F | <1% | 682 | 604 | $2K |
16 more codes
| 1160F | <1% | 665 | $2K | |
| 81003 | <1% | 788 | $1K | |
| 82947 | <1% | 368 | $762.75 | |
| 3008F | <1% | 216 | $730.00 | |
| 90658 | <1% | 37 | $317.27 | |
| 1158F | <1% | 130 | $290.00 | |
| 81025 | <1% | 51 | $220.52 | |
| 87536 | <1% | 321 | $1.33 | |
| 90707 | <1% | 68 | $0.01 | |
| 90723 | 0% | 232 | $0.00 | |
| 90680 | 0% | 166 | $0.00 | |
| 90716 | 0% | 81 | $0.00 | |
| 90696 | 0% | 13 | $0.00 | |
| 90670 | 0% | 399 | $0.00 | |
| 90734 | 0% | 66 | $0.00 | |
| 90633 | 0% | 86 | $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 officialLAMPKIN, SL (OWNER)