NP / PA
Rockvale Family Practice, LLC
Rockvale Family Practice, LLC was paid $269K by Medicaid between Oct 2018 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 85% of everything it billed.
33Billing provider infoROCKVALE FAMILY PRACTICE, LLC
ROCKVALE, TN 37153
ROCKVALE, TN 37153
33aNPI1326578147assigned 06/14/2017
33bProvider typeFamily Nurse Practitioner
28Total paid$269K
24GClaims7,955
24DCodes billed16
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Tennessee
Rank by total paid#67 of 687
Median peer was paid$15K
This provider vs. median18×
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 | 40 | $2K | |
| 2019 | 864 | $31K | |
| 2020 | 1,097 | $35K | |
| 2021 | 1,857 | $60K | |
| 2022 | 1,945 | $60K | |
| 2023 | 1,389 | $50K | |
| 2024incomplete | 763 | $31K |
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 | 85% | 4,678 | 3,064 | $228K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 7.8% | 1,902 | 1,057 | $21K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.6% | 193 | 138 | $12K |
| 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% | 33 | 25 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 62 | 50 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 449 | 375 | $650.50 |
| 90756 | <1% | 30 | 21 | $532.77 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 58 | 39 | $509.48 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 272 | 224 | $388.50 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 38 | 34 | $328.98 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 28 | 19 | $290.64 |
| 96127 | <1% | 51 | 38 | $210.96 |
4 more codes
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 officialMATTHEWS, PENNY (NURSE PRACTITIONER)