Physician
Northcrest Physician Services INC
Northcrest Physician Services INC was paid $1.85M by Medicaid between Jan 2018 and Aug 2021, across 68 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoNORTHCREST PHYSICIAN SERVICES INC
SPRINGFIELD, TN 37172
SPRINGFIELD, TN 37172
33aNPI1356561856assigned 04/26/2007
33bProvider typeInternal Medicine Physician
28Total paid$1.85M
24GClaims87,581
24DCodes billed68
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Internal Medicine Physician providers in Tennessee
Rank by total paid#21 of 581
Median peer was paid$15K
This provider vs. median122×
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 | 23,361 | $554K | |
| 2019 | 27,989 | $549K | |
| 2020 | 20,906 | $426K | |
| 2021 | 15,325 | $324K |
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% | 24,814 | 19,683 | $1.01M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 8,822 | 7,318 | $268K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.5% | 2,726 | 2,169 | $175K |
| 20610 | 4.5% | 3,181 | 2,200 | $83K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.9% | 1,346 | 1,173 | $73K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.5% | 4,797 | 2,996 | $46K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 3,900 | 1,684 | $32K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 1,256 | 407 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,887 | 2,159 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 904 | 731 | $16K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 2,982 | 2,385 | $16K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 274 | 228 | $11K |
56 more codes
| 99217 | <1% | 261 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 582 | $6K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 192 | $5K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 449 | $5K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 468 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,665 | $4K |
| 73560 | <1% | 370 | $4K | |
| 3008F | <1% | 3,604 | $4K | |
| 90674 | <1% | 290 | $4K | |
| 80305 | <1% | 1,142 | $4K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 121 | $3K |
| 99219 | <1% | 77 | $3K | |
| 3078F | <1% | 2,480 | $3K | |
| 3074F | <1% | 2,552 | $2K | |
| 96127 | <1% | 820 | $2K | |
| 90756 | <1% | 163 | $2K | |
| 90686 | <1% | 178 | $2K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 93 | $2K |
| 99220 | <1% | 30 | $2K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 417 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 30 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 95 | $2K |
| 81002 | <1% | 1,756 | $2K | |
| 3079F | <1% | 847 | $1K | |
| 99442 | <1% | 83 | $880.69 | |
| 73100 | <1% | 42 | $668.94 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 232 | $609.95 |
| 81003 | <1% | 719 | $559.80 | |
| 3077F | <1% | 319 | $550.00 | |
| 3075F | <1% | 366 | $540.00 | |
| 1158F | <1% | 252 | $480.00 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | $386.02 |
| 83518 | <1% | 306 | $352.36 | |
| 73030 | <1% | 46 | $293.25 | |
| 73562 | <1% | 16 | $261.68 | |
| 99443 | <1% | 23 | $204.98 | |
| 73610 | <1% | 15 | $170.22 | |
| G0008 | Administration of influenza virus vaccine | <1% | 293 | $127.76 |
| 81025 | <1% | 32 | $127.39 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 302 | $113.53 |
| 97597 | <1% | 18 | $106.29 | |
| 82044 | <1% | 17 | $42.54 | |
| 82947 | <1% | 20 | $15.99 | |
| 90653 | <1% | 105 | $2.38 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 595 | $0.00 |
| 4004F | 0% | 108 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 197 | $0.00 |
| 4040F | 0% | 39 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 15 | $0.00 |
| G9796 | Patient is currently on a high intensity statin therapy | 0% | 20 | $0.00 |
| 3288F | 0% | 26 | $0.00 | |
| 2000F | 0% | 3,965 | $0.00 | |
| 1036F | 0% | 1,500 | $0.00 | |
| 4037F | 0% | 202 | $0.00 | |
| 1000F | 0% | 101 | $0.00 | |
| 1170F | 0% | 23 | $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 officialDAVIS, JERLYN (BILLER)