Carmel Clinic Corporation

Carmel Clinic Corporation was paid $373K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoCARMEL CLINIC CORPORATION
SHELBYVILLE, TN 37160

33aNPI1326187980assigned 02/06/2007

33bProvider typeInternal Medicine Physician

28Total paid$373K

24GClaims16,402

24DCodes billed26

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Tennessee

Rank by total paid#71 of 581

Median peer was paid$15K

This provider vs. median25×

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	3,335	$65K
2019	2,787	$59K
2020	1,873	$47K
2021	2,115	$54K
2022	2,225	$49K
2023	2,399	$52K
2024incomplete	1,668	$47K

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	55%	5,380	4,509	$204K
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%	4,833	4,000	$131K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	4.5%	1,978	1,289	$17K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.0%	187	144	$8K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.2%	69	53	$4K
36415	Collection of venous blood by venipuncture	<1%	2,387	2,056	$3K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	152	95	$1K
93000		<1%	141	113	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	81	65	$1K
87428		<1%	18	16	$770.29
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	78	69	$692.43
81002		<1%	452	370	$537.08

14 more codes

87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	16	$455.18
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	36	$449.77
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	29	$319.08
90756		<1%	31	$281.27
80305		<1%	70	$205.12
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	30	$126.82
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	140	$82.02
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	63	$70.84
96127		<1%	14	$53.05
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	14	$17.20
1160F		0%	84	$0.00
1159F		0%	84	$0.00
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	0%	20	$0.00
G0008	Administration of influenza virus vaccine	0%	15	$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 officialFAOUR, MUHAMED (OWNER)