Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Physician Partners PC

Physician Partners PC was paid $431K by Medicaid between Jan 2018 and Feb 2020, across 53 billing codes. Its largest line is S0280, Medical home program, comprehensive care coordination and planning, initial plan — 51% of everything it billed.

33Billing provider infoPHYSICIAN PARTNERS PC
FRANKLIN, TN 37067
33aNPI1336571660assigned 08/09/2013
33bProvider typeAdult Medicine Physician
28Total paid$431K
24GClaims23,588
24DCodes billed53
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers

Next to other Adult Medicine Physician providers in Tennessee

Rank by total paid#3 of 15
Median peer was paid$40K
This provider vs. median11×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201816,206$355K
20197,197$73K
2020185$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0280 Medical home program, comprehensive care coordination and planning, initial plan 51% 2,280 1,194 $222K
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% 4,541 3,788 $100K
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 17% 2,716 2,280 $72K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.3% 385 328 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.2% 607 414 $5K
3008F 1.1% 2,545 2,133 $5K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 124 103 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 96 86 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 50 48 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 388 302 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 43 43 $2K
36415 Collection of venous blood by venipuncture <1% 2,015 1,662 $2K
41 more codes
90688 <1% 102 $1K
90658 <1% 148 $1K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 114 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 29 $671.58
3074F <1% 302 $475.00
G9004 Coordinated care fee, risk adjusted low, initial <1% 1,493 $404.15
81003 <1% 426 $355.97
83036 Hemoglobin; glycosylated (A1C) <1% 509 $337.02
3079F <1% 197 $310.00
3078F <1% 172 $210.00
3077F <1% 77 $140.00
G0405 Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination <1% 33 $108.91
92551 <1% 32 $105.67
99173 <1% 38 $100.35
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 107 $47.59
82962 <1% 40 $41.22
3075F <1% 31 $40.00
3080F <1% 17 $40.00
80061 Lipid panel <1% 147 $23.98
36416 <1% 25 $20.49
81002 <1% 25 $18.90
99000 <1% 1,472 $4.32
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 31 $2.69
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 27 $0.24
G9005 Coordinated care fee, risk adjusted maintenance <1% 758 $0.03
G9007 Coordinated care fee, scheduled team conference <1% 23 $0.02
G9006 Coordinated care fee, home monitoring <1% 127 $0.02
G9010 Coordinated care fee, risk adjusted maintenance, level 4 <1% 109 $0.02
80053 Comprehensive metabolic panel 0% 263 $0.00
84443 Thyroid stimulating hormone (TSH) 0% 165 $0.00
4010F 0% 103 $0.00
85027 0% 31 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 0% 164 $0.00
4274F 0% 86 $0.00
G9011 Coordinated care fee, risk adjusted maintenance, level 5 0% 132 $0.00
90734 0% 17 $0.00
4013F 0% 164 $0.00
2022F 0% 13 $0.00
90715 0% 15 $0.00
90649 0% 21 $0.00
90461 0% 13 $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 officialBOGLE, JEFF (CHIEF FINANCIAL OFFICER)