Clinchfield Family Medicine, PLLC

Clinchfield Family Medicine, PLLC was paid $76K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 90% of everything it billed.

33Billing provider infoCLINCHFIELD FAMILY MEDICINE, PLLC
KINGSPORT, TN 37660

33aNPI1316228075assigned 09/07/2011

33bProvider typePrimary Care Clinic/Center

28Total paid$76K

24GClaims4,426

24DCodes billed17

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in Tennessee

Rank by total paid#75 of 139

Median peer was paid$101K

This provider vs. median0.8×

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	1,149	$15K
2019	879	$13K
2020	512	$9K
2021	672	$12K
2022	551	$10K
2023	340	$8K
2024incomplete	323	$10K

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	90%	2,734	2,305	$69K
80305		5.1%	1,067	940	$4K
90674		1.3%	101	94	$990.55
93923		1.1%	34	13	$814.61
95923		<1%	31	26	$465.51
95924		<1%	17	13	$310.08
99406		<1%	72	59	$302.66
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	68	61	$235.64
90661		<1%	22	18	$175.42
36415	Collection of venous blood by venipuncture	<1%	171	153	$155.83
G0008	Administration of influenza virus vaccine	<1%	17	13	$54.78
93040		<1%	17	13	$39.93

5 more codes

93922		<1%	14	$29.95
95921		<1%	14	$23.20
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	19	$13.24
94760		<1%	14	$2.82
95922		0%	14	$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 officialGRIGSBY, HOLLY (OWNER/MEDICAL DIRECTOR)