Physician
TLC Family Care PC
TLC Family Care PC was paid $698K by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoTLC FAMILY CARE PC
SPARTA, TN 38583
SPARTA, TN 38583
33aNPI1164649356assigned 04/19/2007
33bProvider typePediatrics Physician
28Total paid$698K
24GClaims39,233
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#88 of 333
Median peer was paid$139K
This provider vs. median5.0×
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 | 4,822 | $134K | |
| 2019 | 9,172 | $177K | |
| 2020 | 6,635 | $112K | |
| 2021 | 5,717 | $79K | |
| 2022 | 4,468 | $72K | |
| 2023 | 4,517 | $69K | |
| 2024incomplete | 3,902 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 59% | 11,474 | 9,626 | $412K |
| 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 | 21% | 3,402 | 2,941 | $148K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.7% | 1,435 | 1,269 | $26K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 329 | 293 | $20K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 253 | 233 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 1,216 | 1,091 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 738 | 659 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 737 | 645 | $9K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 409 | 362 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 106 | 100 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 111 | 93 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,081 | 2,793 | $4K |
27 more codes
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 294 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 32 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 155 | $3K |
| 3008F | <1% | 445 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 22 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 124 | $1K |
| 81002 | <1% | 562 | $997.40 | |
| 90670 | <1% | 161 | $390.02 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 28 | $328.44 |
| 90686 | <1% | 36 | $184.39 | |
| 90756 | <1% | 14 | $164.93 | |
| 99406 | <1% | 17 | $116.83 | |
| 90723 | <1% | 31 | $104.67 | |
| 90688 | <1% | 31 | $22.68 | |
| 90648 | <1% | 99 | $0.01 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 931 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 158 | $0.00 |
| G8711 | Prescribed antibiotic on or within 3 days after the episode date | 0% | 613 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 1,443 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 12 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 9,969 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 512 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 98 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 104 | $0.00 |
| 4004F | 0% | 17 | $0.00 | |
| 3016F | 0% | 16 | $0.00 | |
| 90633 | 0% | 18 | $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 officialDODSON, DOUG (OFFICE MANAGER)