Cumberland River Hospital INC

Cumberland River Hospital INC was paid $163K by Medicaid between Jan 2018 and Apr 2019, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.

33Billing provider infoCUMBERLAND RIVER HOSPITAL INC
CELINA, TN 38551

33aNPI1356427462assigned 10/31/2006

33bProvider typeFamily Medicine Physician

28Total paid$163K

24GClaims5,124

24DCodes billed9

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#186 of 754

Median peer was paid$34K

This provider vs. median4.8×

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	3,830	$121K
2019	1,294	$42K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	70%	3,297	2,744	$113K
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	24%	1,045	957	$39K
99307		4.5%	367	344	$7K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month	<1%	126	126	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	118	54	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	12	12	$168.42
90688		<1%	27	27	$166.38
36415	Collection of venous blood by venipuncture	<1%	105	91	$111.31
81003		<1%	27	27	$58.17

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 officialSTRONG, PARICIA (CFO)