Athens Physicians Practice LLC

Athens Physicians Practice LLC was paid $10K by Medicaid between Jan 2018 and May 2020, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.

33Billing provider infoATHENS PHYSICIANS PRACTICE LLC
ATHENS, TN 37303

33aNPI1306850144assigned 07/28/2006

33bProvider typeInternal Medicine Physician

28Total paid$10K

24GClaims1,015

24DCodes billed8

24AFirst – last monthJan 2018 – May 2020

Compared with peers

Next to other Internal Medicine Physician providers in Tennessee

Rank by total paid#333 of 581

Median peer was paid$15K

This provider vs. median0.6×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official JUDY, JESS controls 20+ related entities in our dataset. Read more

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	463	$4K
2019	451	$4K
2020	101	$2K

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	62%	590	510	$6K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	23%	175	158	$2K
99308	Subsequent nursing facility care, per day, straightforward	8.9%	37	34	$855.28
99307		2.9%	14	12	$275.22
90756		2.6%	68	55	$245.90
G2011	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes	<1%	39	35	$29.92
G0008	Administration of influenza virus vaccine	<1%	57	46	$19.56
36415	Collection of venous blood by venipuncture	<1%	35	31	$17.62

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 officialJUDY, JESS (PRESIDENT)

Parent organizationATHENS PHYSICIANS PRACTICE LLC

Same official

Other billing entities under JUDY, JESS

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.