Physician
A Pattern Medical Clinic
A Pattern Medical Clinic was paid $46K by Medicaid between Aug 2020 and Dec 2022, across 19 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 26% of everything it billed.
33Billing provider infoA PATTERN MEDICAL CLINIC
OOLTEWAH, TN 37363
OOLTEWAH, TN 37363
33aNPI1184102881assigned 08/03/2018
33bProvider typeFamily Medicine Physician
28Total paid$46K
24GClaims3,535
24DCodes billed19
24AFirst – last monthAug 2020 – Dec 2022
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#347 of 754
Median peer was paid$34K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2020 | 699 | $10K | |
| 2021 | 2,438 | $31K | |
| 2022 | 398 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 26% | 680 | 337 | $12K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 18% | 315 | 179 | $8K |
| 98968 | 9.6% | 197 | 156 | $4K | |
| G2024 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source | 7.8% | 294 | 179 | $4K |
| 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 | 5.6% | 123 | 80 | $3K |
| 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 | 5.0% | 78 | 52 | $2K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 4.6% | 52 | 40 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.3% | 185 | 106 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.0% | 166 | 113 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.9% | 91 | 60 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.1% | 173 | 111 | $1K |
| 96127 | 2.9% | 900 | 449 | $1K |
7 more codes
| 99215 | Doctor's office visit, returning patient (complex) | 1.7% | 13 | $775.12 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.3% | 43 | $609.96 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 36 | $505.29 |
| 99443 | <1% | 35 | $325.40 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 83 | $155.52 |
| 99000 | 0% | 17 | $0.00 | |
| 96136 | 0% | 54 | $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 officialLUBERISSE, ANNEX (DIRECTOR OF OPERATIONS)