Physician
Rhea Medical Center
Rhea Medical Center was paid $902K by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoRHEA MEDICAL CENTER
SPRING CITY, TN 37381
SPRING CITY, TN 37381
33aNPI1285982678assigned 08/16/2012
33bProvider typeFamily Medicine Physician
28Total paid$902K
24GClaims31,901
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#64 of 754
Median peer was paid$34K
This provider vs. median27×
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 | 3,771 | $44K | |
| 2019 | 5,353 | $64K | |
| 2020 | 1,692 | $41K | |
| 2021 | 3,782 | $129K | |
| 2022 | 5,913 | $197K | |
| 2023 | 6,597 | $235K | |
| 2024incomplete | 4,793 | $193K |
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 | 58% | 12,296 | 10,326 | $523K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 5,680 | 4,819 | $176K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 7.4% | 1,655 | 1,426 | $67K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 4.4% | 753 | 601 | $40K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.2% | 987 | 912 | $29K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 313 | 257 | $16K |
| M0240 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring, subsequent repeat doses | 1.5% | 45 | 37 | $13K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 264 | 232 | $12K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 1,032 | 711 | $12K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,322 | 1,964 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 98 | 64 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 15 | 12 | $1K |
28 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 31 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $986.16 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 160 | $818.62 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 93 | $760.78 |
| 90686 | <1% | 84 | $613.15 | |
| 3074F | <1% | 1,261 | $610.00 | |
| 3078F | <1% | 1,220 | $600.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 57 | $566.78 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 64 | $462.10 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 90 | $319.04 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 42 | $315.09 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 69 | $291.56 |
| 3079F | <1% | 466 | $280.00 | |
| 87634 | <1% | 29 | $230.83 | |
| 96127 | <1% | 59 | $194.26 | |
| 3077F | <1% | 297 | $140.00 | |
| 81003 | <1% | 91 | $125.43 | |
| 3075F | <1% | 198 | $70.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 86 | $68.87 |
| 81002 | <1% | 40 | $53.90 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 28 | $44.20 |
| 99406 | <1% | 13 | $28.67 | |
| Q0240 | Injection, casirivimab and imdevimab, 600 mg | <1% | 28 | $0.20 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,728 | $0.00 |
| H0001 | Alcohol and/or drug assessment | 0% | 53 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 87 | $0.00 |
| 99000 | 0% | 39 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 16 | $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 officialSANDERS, HARV (CFO)
| Provider | Location | Paid |
|---|---|---|
| Rhea Medical Center | Dayton, TN | $5.88M |
| Rhea Medical Center | Spring City, TN | $786.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.