Clinic
West Family Care Clinic PLLC
West Family Care Clinic PLLC was paid $238K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoWEST FAMILY CARE CLINIC PLLC
NEWBERN, TN 38059
NEWBERN, TN 38059
33aNPI1285008367assigned 11/30/2015
33bProvider typeRural Health Clinic/Center
28Total paid$238K
24GClaims12,784
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Tennessee
Rank by total paid#38 of 96
Median peer was paid$127K
This provider vs. median1.9×
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 | 115 | $5K | |
| 2021 | 1,611 | $33K | |
| 2022 | 3,539 | $57K | |
| 2023 | 4,082 | $72K | |
| 2024incomplete | 3,437 | $73K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 60% | 5,077 | 3,721 | $144K |
| 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 | 14% | 963 | 732 | $33K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 8.1% | 663 | 541 | $19K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 4.4% | 1,209 | 899 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.6% | 641 | 435 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.5% | 1,085 | 915 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 133 | 100 | $6K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.4% | 187 | 140 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,678 | 1,279 | $2K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 254 | 203 | $321.30 |
| 90686 | <1% | 35 | 28 | $285.96 | |
| 96127 | <1% | 36 | 28 | $204.29 |
9 more codes
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 114 | $161.69 |
| 96160 | <1% | 14 | $153.08 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 465 | $151.32 |
| 81003 | <1% | 148 | $134.84 | |
| 93000 | <1% | 16 | $127.92 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 13 | $123.17 |
| 92551 | <1% | 17 | $110.35 | |
| 81025 | <1% | 21 | $71.40 | |
| 3078F | <1% | 15 | $0.01 |
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 officialWEST, LAURA (OWNER, NURSE PRACTITIONER)
| Provider | Location | Paid |
|---|---|---|
| West Gynecology and Medical Spa PLC | Midlothian, VA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.