NP / PA
Campbell County Hma, LLC
Campbell County Hma, LLC was paid $186K by Medicaid between Jan 2018 and Jun 2024, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
33Billing provider infoCAMPBELL COUNTY HMA, LLC
LA FOLLETTE, TN 37766
LA FOLLETTE, TN 37766
33aNPI1235411554assigned 09/13/2011
33bProvider typeNurse Practitioner
28Total paid$186K
24GClaims19,136
24DCodes billed34
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Nurse Practitioner providers in Tennessee
Rank by total paid#31 of 212
Median peer was paid$17K
This provider vs. median11×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official WRIGHT, JAMES controls 20+ related entities in our dataset. Read more
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 | 2,150 | $39K | |
| 2019 | 1,961 | $65K | |
| 2020 | 3,046 | $34K | |
| 2021 | 4,852 | $17K | |
| 2022 | 6,583 | $30K | |
| 2023 | 470 | $143.60 | |
| 2024incomplete | 74 | $536.38 |
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 | 66% | 4,875 | 3,430 | $124K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 14% | 942 | 229 | $25K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.8% | 843 | 654 | $14K |
| 99223 | Prolong inpt eval add15 m | 6.2% | 260 | 169 | $12K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.7% | 144 | 111 | $5K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.6% | 134 | 40 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 41 | 28 | $1K |
| 90686 | <1% | 125 | 99 | $723.05 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,553 | 1,200 | $453.18 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 17 | 14 | $446.77 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 164 | 108 | $180.34 |
| 3008F | 0% | 1,576 | 1,135 | $0.00 |
22 more codes
| 1126F | 0% | 880 | $0.00 | |
| 1125F | 0% | 476 | $0.00 | |
| 1036F | 0% | 719 | $0.00 | |
| 3079F | 0% | 218 | $0.00 | |
| 3074F | 0% | 573 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 40 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 73 | $0.00 |
| 1170F | 0% | 562 | $0.00 | |
| 1034F | 0% | 168 | $0.00 | |
| 3075F | 0% | 48 | $0.00 | |
| 3080F | 0% | 94 | $0.00 | |
| 1101F | 0% | 46 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 107 | $0.00 |
| 1160F | 0% | 1,060 | $0.00 | |
| 3288F | 0% | 1,407 | $0.00 | |
| 3077F | 0% | 340 | $0.00 | |
| 3078F | 0% | 676 | $0.00 | |
| 1159F | 0% | 671 | $0.00 | |
| 1100F | 0% | 75 | $0.00 | |
| 1090F | 0% | 144 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 31 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 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 officialWRIGHT, JAMES (DIRECTOR)
Parent organizationHEALTH MANAGEMENT ASSOCIATES, INC.
| Provider | Location | Paid |
|---|---|---|
| Poplar Bluff Hma Physician Management, LLC | Poplar Bluff, MO | $9.93M |
| Crestwood Physician Services, LLC | Huntsville, AL | $1.52M |
| Fort Smith Hma PBC Management, LLC | Fort Smith, AR | $1.34M |
| Porter Health Services, LLC. | Valparaiso, IN | $1.28M |
| Wiregrass Clinic LLC | Dothan, AL | $697K |
| Madison Hma Physician Management LLC | Canton, MS | $677K |
| Shelbyville Clinic Corp | Shelbyville, TN | $512K |
| Franklin Clinic Corp | Franklin, VA | $369K |
| Town of Sharon | Sharon, MA | $348K |
| Clarksdale Hma Physician Management LLC | Clarksdale, MS | $247K |
| Lake Shore Hma Medical Group LLC | Lake City, FL | $193K |
| Crossgates Hma Medical Group LLC | Brandon, MS | $183K |
| Preferred Living INC | Ville Platte, LA | $168K |
| Deaconess Physician Services LLC | Oklahoma City, OK | $161K |
| Carolinas Medical Alliance INC | Florence, SC | $93K |
| Carolina Surgery Center LLC | Fort Mill, SC | $64K |
| Haines City Hma Physician Management, LLC | Davenport, FL | $28K |
| Bluefield HBP Medical Group LLC | Bluefield, WV | $23K |
| Lake Wales Clinic Corp | Lake Wales, FL | $20K |
| Campbell County Hma, LLC | La Follette, TN | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.