NP / PA
Caremore Medical Group of Tennessee PC
Caremore Medical Group of Tennessee PC was paid $223K by Medicaid between Jan 2018 and Sep 2022, across 41 billing codes. Its largest line is S0280, Medical home program, comprehensive care coordination and planning, initial plan — 89% of everything it billed.
33Billing provider infoCAREMORE MEDICAL GROUP OF TENNESSEE PC
MEMPHIS, TN 38104
MEMPHIS, TN 38104
33aNPI1265834048assigned 09/23/2014
33bProvider typeNurse Practitioner
28Total paid$223K
24GClaims49,986
24DCodes billed41
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Nurse Practitioner providers in Tennessee
Rank by total paid#25 of 212
Median peer was paid$17K
This provider vs. median13×
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 | 19,378 | $150K | |
| 2019 | 16,984 | $61K | |
| 2020 | 8,538 | $12K | |
| 2021 | 3,424 | $135.00 | |
| 2022 | 1,662 | $457.01 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 89% | 1,943 | 1,245 | $197K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 15,122 | 13,301 | $15K |
| 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 | 3.6% | 4,780 | 4,359 | $8K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 400 | 383 | $799.68 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 116 | 106 | $477.36 |
| 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% | 908 | 863 | $404.96 |
| 82962 | <1% | 4,381 | 3,647 | $295.59 | |
| 99205 | Prolong outpt/office vis | <1% | 228 | 228 | $287.64 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 670 | 642 | $184.96 |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 55 | 55 | $152.32 |
| 81025 | <1% | 3,806 | 3,446 | $118.32 | |
| 99442 | <1% | 1,511 | 1,321 | $67.60 |
29 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 66 | $12.24 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 860 | $11.57 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 430 | $3.87 |
| 81001 | 0% | 7,334 | $0.00 | |
| 99443 | 0% | 170 | $0.00 | |
| G9003 | Coordinated care fee, risk adjusted high, initial | 0% | 737 | $0.00 |
| G9005 | Coordinated care fee, risk adjusted maintenance | 0% | 565 | $0.00 |
| 99441 | 0% | 1,406 | $0.00 | |
| 99000 | 0% | 106 | $0.00 | |
| 99386 | 0% | 55 | $0.00 | |
| 3079F | 0% | 16 | $0.00 | |
| 1111F | 0% | 16 | $0.00 | |
| 3074F | 0% | 15 | $0.00 | |
| 99385 | 0% | 17 | $0.00 | |
| 99349 | 0% | 14 | $0.00 | |
| 90674 | 0% | 16 | $0.00 | |
| 99348 | 0% | 13 | $0.00 | |
| 99499 | 0% | 1,156 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 756 | $0.00 |
| 90756 | 0% | 315 | $0.00 | |
| G9010 | Coordinated care fee, risk adjusted maintenance, level 4 | 0% | 909 | $0.00 |
| G9011 | Coordinated care fee, risk adjusted maintenance, level 5 | 0% | 165 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 139 | $0.00 |
| 99221 | 0% | 28 | $0.00 | |
| G9004 | Coordinated care fee, risk adjusted low, initial | 0% | 241 | $0.00 |
| T2023 | Targeted case management; per month | 0% | 413 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 14 | $0.00 |
| 90715 | 0% | 81 | $0.00 | |
| 3077F | 0% | 13 | $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 officialRHONE, TERENCE (PRESIDENT/OWNER)