Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Rural Health Services Consortium of Upper East Tennessee INC

Rural Health Services Consortium of Upper East Tennessee INC was paid $739.59 by Medicaid between Aug 2018 and Apr 2021, across 2 billing codes. Its largest line is G0511, Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month — 53% of everything it billed.

33Billing provider infoRURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
LIMESTONE, TN 37681
33aNPI1265432074assigned 07/22/2005
28Total paid$739.59
24GClaims45
24DCodes billed2
24AFirst – last monthAug 2018 – Apr 2021
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Tennessee

Rank by total paid#82 of 90
Median peer was paid$87K
This provider vs. median0.0×

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

$0$200$4002018201920202021202220232024
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
YearClaimsPaid
201813$350.90
202018$210.44
202114$178.25
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 53% 32 32 $388.69
G0467 Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 47% 13 12 $350.90

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 officialBUCK, LINDA (CEO)
Same official

Other billing entities under BUCK, LINDA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.