Family Medical PC
Family Medical PC was paid $1.06M by Medicaid between Jan 2018 and Nov 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoFAMILY MEDICAL PC
LEBANON, TN 37087
LEBANON, TN 37087
33aNPI1295805794assigned 11/09/2006
33bProvider typeSpecialist
28Total paid$1.06M
24GClaims49,934
24DCodes billed51
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#40 of 252
Median peer was paid$57K
This provider vs. median19×
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 | 8,496 | $175K | |
| 2019 | 9,013 | $183K | |
| 2020 | 7,266 | $144K | |
| 2021 | 7,591 | $166K | |
| 2022 | 6,260 | $153K | |
| 2023 | 5,676 | $122K | |
| 2024incomplete | 5,632 | $111K |
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 | 31% | 9,978 | 8,794 | $323K |
| 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 | 28% | 11,606 | 9,810 | $291K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 11% | 9,759 | 7,218 | $114K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.6% | 1,731 | 1,583 | $80K |
| 87428 | 6.8% | 1,431 | 1,323 | $72K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.2% | 1,450 | 1,361 | $34K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 596 | 491 | $33K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.8% | 1,845 | 871 | $19K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 284 | 263 | $19K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.1% | 348 | 318 | $12K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.1% | 1,932 | 1,474 | $12K |
| 99305 | <1% | 559 | 498 | $10K |
39 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 861 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 92 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 730 | $6K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,039 | $6K |
| 90756 | <1% | 380 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 96 | $2K |
| 99307 | <1% | 406 | $2K | |
| 81003 | <1% | 880 | $898.50 | |
| 90670 | <1% | 397 | $815.01 | |
| G0008 | Administration of influenza virus vaccine | <1% | 332 | $808.87 |
| 87807 | <1% | 68 | $633.39 | |
| 99318 | <1% | 221 | $630.19 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 40 | $541.35 |
| 99497 | <1% | 93 | $385.71 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 138 | $286.44 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 30 | $176.90 |
| 82044 | <1% | 67 | $98.40 | |
| 90648 | <1% | 365 | $94.60 | |
| 99173 | <1% | 28 | $90.84 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 102 | $44.25 |
| 90633 | <1% | 30 | $43.67 | |
| 90686 | <1% | 54 | $20.53 | |
| 80305 | <1% | 14 | $19.76 | |
| 3074F | <1% | 427 | $10.00 | |
| 3078F | <1% | 540 | $10.00 | |
| 90677 | <1% | 29 | $0.05 | |
| 90723 | 0% | 128 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 256 | $0.00 |
| 1170F | 0% | 110 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 39 | $0.00 |
| 3075F | 0% | 21 | $0.00 | |
| 3079F | 0% | 17 | $0.00 | |
| 1036F | 0% | 48 | $0.00 | |
| 1126F | 0% | 20 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 45 | $0.00 |
| 90681 | 0% | 24 | $0.00 | |
| 1158F | 0% | 100 | $0.00 | |
| 90461 | 0% | 38 | $0.00 | |
| 1160F | 0% | 110 | $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, ROGER (CO-OWNER)