Physician
Unicoi Medical Associates
Unicoi Medical Associates was paid $432K by Medicaid between Jan 2018 and Oct 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoUNICOI MEDICAL ASSOCIATES
ERWIN, TN 37650
ERWIN, TN 37650
33aNPI1306875224assigned 07/02/2006
33bProvider typeFamily Medicine Physician
28Total paid$432K
24GClaims19,408
24DCodes billed23
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#116 of 754
Median peer was paid$34K
This provider vs. median13×
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 | 3,063 | $70K | |
| 2019 | 3,482 | $79K | |
| 2020 | 2,646 | $57K | |
| 2021 | 2,924 | $70K | |
| 2022 | 2,811 | $65K | |
| 2023 | 3,268 | $66K | |
| 2024incomplete | 1,214 | $25K |
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 | 68% | 7,214 | 5,938 | $294K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 3,253 | 2,718 | $93K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.7% | 603 | 547 | $16K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.7% | 2,846 | 2,651 | $12K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 670 | 547 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,421 | 2,981 | $4K |
| 87400 | <1% | 526 | 247 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | 15 | $1K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 147 | 88 | $858.35 |
| 90674 | <1% | 111 | 101 | $750.90 | |
| 87428 | <1% | 14 | 13 | $655.74 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 49 | 41 | $423.40 |
11 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 44 | $322.32 |
| 99441 | <1% | 66 | $246.45 | |
| 81003 | <1% | 187 | $183.88 | |
| G0008 | Administration of influenza virus vaccine | <1% | 83 | $159.74 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 45 | $149.55 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 17 | $91.02 |
| 82570 | <1% | 13 | $19.36 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 20 | $16.24 |
| 82044 | <1% | 13 | $14.29 | |
| 99397 | 0% | 18 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 33 | $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 officialCOLINGER, J. (PRESIDENT)