Clinic
Hometown Medical Clinic
Hometown Medical Clinic was paid $349K by Medicaid between Jul 2022 and Dec 2024, across 43 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoHOMETOWN MEDICAL CLINIC
BEAN STATION, TN 37708
BEAN STATION, TN 37708
33aNPI1275280273assigned 03/09/2022
33bProvider typePrimary Care Clinic/Center
28Total paid$349K
24GClaims37,516
24DCodes billed43
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Tennessee
Rank by total paid#35 of 139
Median peer was paid$101K
This provider vs. median3.5×
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 | |
|---|---|---|---|
| 2022 | 4,443 | $43K | |
| 2023 | 11,547 | $117K | |
| 2024incomplete | 21,526 | $189K |
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 | 37% | 3,580 | 2,823 | $128K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 3,658 | 2,838 | $110K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.4% | 451 | 364 | $22K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.4% | 1,882 | 795 | $19K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 4.8% | 550 | 484 | $17K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.5% | 415 | 340 | $12K |
| 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 | 3.2% | 185 | 151 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.7% | 903 | 697 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 664 | 591 | $6K |
| 99406 | <1% | 759 | 610 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,490 | 1,185 | $2K |
| 96127 | <1% | 738 | 618 | $2K |
31 more codes
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 90 | $1K |
| 96160 | <1% | 80 | $918.52 | |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | <1% | 74 | $828.00 |
| 86328 | <1% | 21 | $805.39 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | $780.49 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 740 | $477.76 |
| 90661 | <1% | 25 | $464.36 | |
| 3077F | <1% | 1,939 | $320.27 | |
| 3080F | <1% | 1,251 | $290.00 | |
| 3079F | <1% | 1,728 | $221.16 | |
| 3074F | <1% | 3,175 | $200.22 | |
| 3078F | <1% | 3,121 | $200.22 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $160.67 |
| 3075F | <1% | 961 | $140.83 | |
| 85018 | <1% | 72 | $112.67 | |
| 81003 | <1% | 126 | $112.49 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 140 | $58.49 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 45 | $47.88 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 39 | $45.32 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 43 | $40.46 |
| 36416 | <1% | 21 | $20.12 | |
| 1125F | <1% | 3,528 | $0.01 | |
| 1126F | 0% | 2,804 | $0.00 | |
| 1101F | 0% | 43 | $0.00 | |
| 1034F | 0% | 1,853 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 24 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 58 | $0.00 |
| 1170F | 0% | 43 | $0.00 | |
| 3008F | 0% | 63 | $0.00 | |
| 1124F | 0% | 46 | $0.00 | |
| 1159F | 0% | 61 | $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 officialMCKINNEY, ASHLEY (MEMBER/MANAGER)