Physician
Cumberland Family Care P.C.
Cumberland Family Care P.C. was paid $2K by Medicaid between Feb 2018 and Jul 2019, across 1 billing code. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoCUMBERLAND FAMILY CARE P.C.
SPENCER, TN 38585
SPENCER, TN 38585
33aNPI1184754111assigned 03/07/2007
33bProvider typeFamily Medicine Physician
28Total paid$2K
24GClaims102
24DCodes billed1
24AFirst – last monthFeb 2018 – Jul 2019
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#613 of 754
Median peer was paid$34K
This provider vs. median0.1×
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 | 88 | $1K | |
| 2019 | 14 | $205.00 |
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 | 100% | 102 | 95 | $2K |
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 officialFERRELL, MISCHELLE (PRACTICE ADMINISTRATOR)
Parent organizationCUMBERLAND FAMILY CARE, P.C.
| Provider | Location | Paid |
|---|---|---|
| Cumberland Family Care PC | Sparta, TN | $729K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.