Clinic
Breakthrough Medical Clinic of Tennessee INC
Breakthrough Medical Clinic of Tennessee INC was paid $3.83M by Medicaid between Dec 2020 and Dec 2024, across 5 billing codes. Its largest line is H0014, Alcohol and/or drug services; ambulatory detoxification — 41% of everything it billed.
33Billing provider infoBREAKTHROUGH MEDICAL CLINIC OF TENNESSEE INC
JOHNSON CITY, TN 37615
JOHNSON CITY, TN 37615
33aNPI1225593056assigned 02/06/2019
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$3.83M
24GClaims16,272
24DCodes billed5
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Tennessee
Rank by total paid#9 of 30
Median peer was paid$1.03M
This provider vs. median3.7×
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 | 337 | $81K | |
| 2021 | 4,656 | $1.23M | |
| 2022 | 3,914 | $956K | |
| 2023 | 3,938 | $860K | |
| 2024incomplete | 3,427 | $695K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0014 | Alcohol and/or drug services; ambulatory detoxification | 41% | 5,148 | 1,556 | $1.56M |
| H0033 | Oral medication administration, direct observation | 39% | 8,032 | 2,910 | $1.51M |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 20% | 3,042 | 2,588 | $750K |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 37 | 37 | $3K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 13 | 13 | $637.08 |
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 officialPINYARD, JOSEPH (OWNER/PRESIDENT)