Physician
Hilcrest Clinic, PC
Hilcrest Clinic, PC was paid $871K by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoHILCREST CLINIC, PC
ERIN, TN 37061
ERIN, TN 37061
33aNPI1295769552assigned 07/10/2006
33bProvider typeFamily Medicine Physician
28Total paid$871K
24GClaims56,527
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#66 of 754
Median peer was paid$34K
This provider vs. median26×
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 | 8,688 | $126K | |
| 2019 | 9,330 | $130K | |
| 2020 | 7,623 | $93K | |
| 2021 | 8,094 | $95K | |
| 2022 | 8,967 | $123K | |
| 2023 | 8,551 | $172K | |
| 2024incomplete | 5,274 | $131K |
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 | 45% | 9,750 | 8,030 | $391K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 8,821 | 7,503 | $305K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 4.9% | 4,694 | 3,797 | $43K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.6% | 1,009 | 895 | $31K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.3% | 2,222 | 983 | $20K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.9% | 2,316 | 1,936 | $17K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.4% | 1,602 | 1,115 | $12K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 233 | 195 | $8K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 201 | 186 | $8K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 468 | 385 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 826 | 722 | $7K |
| 94760 | <1% | 8,494 | 6,867 | $5K |
41 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 2,648 | $3K |
| 99490 | Ccm add 20min | <1% | 524 | $2K |
| 3008F | <1% | 334 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 26 | $2K |
| 90682 | <1% | 61 | $2K | |
| 99406 | <1% | 351 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 24 | $706.60 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $697.34 |
| 96127 | <1% | 152 | $557.09 | |
| 96160 | <1% | 127 | $336.49 | |
| 81003 | <1% | 305 | $321.64 | |
| 90688 | <1% | 41 | $294.62 | |
| 99318 | <1% | 20 | $288.87 | |
| 99307 | <1% | 80 | $281.34 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 80 | $275.55 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 38 | $266.91 |
| 99439 | <1% | 81 | $219.42 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 14 | $163.81 |
| 99173 | <1% | 16 | $143.04 | |
| 99306 | Prolong nursin fac eval 15m | <1% | 32 | $129.15 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 82 | $47.36 |
| 1036F | 0% | 1,694 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 263 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 488 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 2,206 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 28 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 130 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 74 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $0.00 |
| 3017F | 0% | 17 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 658 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,037 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 1,091 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 195 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 370 | $0.00 |
| G9991 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 105 | $0.00 |
| 99499 | 0% | 50 | $0.00 | |
| 4040F | 0% | 280 | $0.00 | |
| 1090F | 0% | 55 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 71 | $0.00 |
| 90662 | 0% | 18 | $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 officialCARTER, MICHAEL (OWNER)