Physician
Cumberland Family Care PC
Cumberland Family Care PC was paid $729K by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.
33Billing provider infoCUMBERLAND FAMILY CARE PC
SPARTA, TN 38583
SPARTA, TN 38583
33aNPI1225003809assigned 02/17/2006
33bProvider typeFamily Medicine Physician
28Total paid$729K
24GClaims31,162
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#75 of 754
Median peer was paid$34K
This provider vs. median22×
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 | 5,397 | $124K | |
| 2019 | 4,667 | $108K | |
| 2020 | 3,561 | $91K | |
| 2021 | 3,901 | $115K | |
| 2022 | 3,809 | $90K | |
| 2023 | 5,443 | $113K | |
| 2024incomplete | 4,384 | $90K |
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 | 67% | 16,704 | 13,954 | $488K |
| 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 | 25% | 6,367 | 5,458 | $182K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.5% | 2,067 | 900 | $18K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.1% | 617 | 533 | $16K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 88 | 78 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 564 | 396 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 104 | 76 | $2K |
| 3008F | <1% | 332 | 269 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 34 | 27 | $2K |
| 92551 | <1% | 276 | 239 | $2K | |
| 99173 | <1% | 288 | 249 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 131 | 123 | $1K |
17 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 881 | $1K |
| 81003 | <1% | 698 | $892.10 | |
| 90686 | <1% | 110 | $717.48 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 410 | $453.69 |
| 87807 | <1% | 61 | $452.16 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 346 | $415.78 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 184 | $350.51 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 116 | $251.32 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 21 | $231.68 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 351 | $158.55 |
| 99497 | <1% | 293 | $140.97 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | $99.32 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 18 | $3.61 |
| 90688 | 0% | 14 | $0.00 | |
| 99406 | 0% | 21 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 36 | $0.00 |
| 90662 | 0% | 16 | $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 officialFERRELL, MISCHELLE (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Cumberland Family Care P.C. | Spencer, TN | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.