Rose Family Clinic

Rose Family Clinic was paid $1.12M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.

33Billing provider infoROSE FAMILY CLINIC
WESTMORELAND, TN 37186

33aNPI1215063334assigned 02/25/2007

33bProvider typeSocial Worker

28Total paid$1.12M

24GClaims55,784

24DCodes billed32

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Social Worker providers in Tennessee

Rank by total paid#2 of 24

Median peer was paid$34K

This provider vs. median33×

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	11,600	$286K
2019	11,164	$243K
2020	6,502	$144K
2021	6,631	$153K
2022	9,242	$136K
2023	6,273	$91K
2024incomplete	4,372	$70K

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%	13,546	10,946	$512K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	23%	11,164	8,492	$263K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	12%	9,273	6,646	$139K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	4.4%	529	254	$49K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	4.1%	836	654	$46K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	2.3%	437	200	$25K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.2%	2,347	1,151	$24K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.7%	2,352	2,011	$19K
J1030	Injection, methylprednisolone acetate, 40 mg	1.3%	2,291	1,822	$15K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	1.1%	281	141	$12K
81002		<1%	3,246	2,608	$4K
81025		<1%	729	612	$3K

20 more codes

J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	2,003	$2K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	17	$1K
99495		<1%	14	$1K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	4,316	$1K
80305		<1%	206	$924.43
90674		<1%	62	$809.68
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	627	$523.82
82962		<1%	345	$433.66
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	23	$350.22
G0008	Administration of influenza virus vaccine	<1%	61	$340.98
81003		<1%	416	$262.92
82947		<1%	130	$190.25
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	61	$190.23
94760		<1%	91	$162.00
80306		<1%	14	$91.50
99407		<1%	19	$77.28
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	65	$72.13
J2919	Injection, methylprednisolone sodium succinate, 5 mg	<1%	162	$64.25
36416		<1%	57	$33.50
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	64	$30.41

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 officialFREEMAN, TONY (SUPERVISING PHYSICIAN)