Clinic
Medical Specialties PLLC
Medical Specialties PLLC was paid $19K by Medicaid between Jun 2024 and Nov 2024, across 12 billing codes. Its largest line is 99497, — 31% of everything it billed.
33Billing provider infoMEDICAL SPECIALTIES PLLC
DECATUR, TN 37322
DECATUR, TN 37322
33aNPI1265294300assigned 01/24/2024
33bProvider typeMedical Specialty Clinic/Center
28Total paid$19K
24GClaims1,365
24DCodes billed12
24AFirst – last monthJun 2024 – Nov 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Tennessee
Rank by total paid#12 of 15
Median peer was paid$56K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2024incomplete | 1,365 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99497 | 31% | 171 | 148 | $6K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 23% | 77 | 72 | $4K |
| 99490 | Ccm add 20min | 20% | 366 | 271 | $4K |
| 96160 | 9.0% | 169 | 147 | $2K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 5.1% | 177 | 146 | $962.42 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 74 | 45 | $912.65 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 3.5% | 67 | 55 | $656.95 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 1.9% | 178 | 147 | $351.79 |
| 99407 | 1.6% | 23 | 21 | $302.10 | |
| 99406 | <1% | 16 | 14 | $79.80 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | 14 | $20.10 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 32 | 19 | $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 officialROBERTS, ENGLISH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Restoration Clinic | Decatur, TN | $1.42M |
| Restoration Clinic | Decatur, TN | $18K |
| Restoration Clinic | Decatur, TN | $233.22 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.