Physician
Privia Medical Group Tennessee LLC
Privia Medical Group Tennessee LLC was paid $4.94M by Medicaid between Apr 2022 and Dec 2024, across 100 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoPRIVIA MEDICAL GROUP TENNESSEE LLC
NASHVILLE, TN 37228
NASHVILLE, TN 37228
33aNPI1376110858assigned 06/04/2021
33bProvider typeInternal Medicine Physician
28Total paid$4.94M
24GClaims412,083
24DCodes billed100
24AFirst – last monthApr 2022 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Tennessee
Rank by total paid#6 of 581
Median peer was paid$15K
This provider vs. median326×
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 | |
|---|---|---|---|
| 2022 | 21,791 | $426K | |
| 2023 | 224,094 | $2.16M | |
| 2024incomplete | 166,198 | $2.35M |
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 | 23% | 36,882 | 27,554 | $1.13M |
| 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 | 21% | 26,996 | 20,094 | $1.04M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 8.4% | 20,770 | 7,768 | $416K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 7.8% | 19,878 | 7,398 | $385K |
| 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 | 7.0% | 5,139 | 4,101 | $345K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.3% | 7,158 | 4,759 | $210K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 3,263 | 2,271 | $183K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 3.4% | 11,956 | 4,552 | $167K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 3,404 | 2,824 | $162K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 2,371 | 1,682 | $130K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 1,880 | 1,350 | $107K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 2.1% | 5,004 | 1,918 | $103K |
88 more codes
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.7% | 4,248 | $86K |
| 87428 | 1.7% | 1,740 | $86K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,000 | $45K |
| 97161 | <1% | 944 | $43K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,800 | $33K |
| 99177 | <1% | 4,749 | $24K | |
| 96160 | <1% | 2,168 | $23K | |
| 96127 | <1% | 6,108 | $19K | |
| 96161 | <1% | 1,299 | $18K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 270 | $17K |
| 20610 | <1% | 525 | $16K | |
| 76830 | Ultrasound, transvaginal | <1% | 250 | $15K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 222 | $14K |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 78 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 559 | $11K |
| 92558 | <1% | 2,706 | $9K | |
| 41010 | <1% | 94 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,008 | $8K |
| 20611 | <1% | 304 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 791 | $7K |
| 73610 | <1% | 424 | $6K | |
| 73110 | <1% | 413 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 939 | $6K |
| 73562 | <1% | 236 | $4K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 21 | $4K |
| 73560 | <1% | 233 | $3K | |
| 73630 | <1% | 166 | $2K | |
| 81025 | <1% | 420 | $2K | |
| 87807 | <1% | 202 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 54 | $2K |
| 73130 | <1% | 108 | $2K | |
| 99385 | <1% | 19 | $1K | |
| 92551 | <1% | 259 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 48 | $1K |
| 81003 | <1% | 804 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 564 | $1K |
| 90677 | <1% | 1,263 | $1K | |
| 99173 | <1% | 377 | $1K | |
| 99381 | <1% | 15 | $956.55 | |
| 83655 | <1% | 94 | $949.17 | |
| 90670 | <1% | 448 | $852.48 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 78 | $839.27 |
| 99490 | Ccm add 20min | <1% | 208 | $788.69 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,347 | $734.91 |
| 85018 | <1% | 356 | $712.92 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 781 | $633.41 |
| 72100 | <1% | 32 | $536.88 | |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 17 | $522.63 |
| 81002 | <1% | 271 | $498.09 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 424 | $476.30 |
| 90686 | <1% | 539 | $456.87 | |
| 73030 | <1% | 41 | $445.41 | |
| 90461 | <1% | 165 | $384.28 | |
| 90734 | <1% | 20 | $365.62 | |
| 3074F | <1% | 16,309 | $261.74 | |
| 3078F | <1% | 15,055 | $250.88 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 88 | $232.20 |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | <1% | 30 | $230.26 |
| 97014 | <1% | 111 | $210.14 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 98 | $150.37 |
| 90648 | <1% | 1,500 | $134.43 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 71 | $125.60 |
| 90674 | <1% | 65 | $120.40 | |
| 90723 | <1% | 758 | $110.04 | |
| 3077F | <1% | 294 | $40.00 | |
| 3079F | <1% | 992 | $40.00 | |
| 90661 | <1% | 493 | $36.21 | |
| 90633 | <1% | 135 | $35.05 | |
| 99024 | <1% | 1,969 | $31.17 | |
| 3080F | <1% | 118 | $10.00 | |
| 3075F | <1% | 326 | $10.00 | |
| 90671 | <1% | 22 | $0.06 | |
| 1036F | <1% | 31,249 | $0.04 | |
| 1159F | <1% | 40,022 | $0.03 | |
| 1160F | <1% | 40,047 | $0.02 | |
| 3008F | <1% | 56,443 | $0.02 | |
| 1034F | <1% | 1,529 | $0.02 | |
| 90656 | <1% | 18 | $0.01 | |
| 3725F | 0% | 6,141 | $0.00 | |
| 99499 | 0% | 88 | $0.00 | |
| 0502F | 0% | 491 | $0.00 | |
| 90681 | 0% | 52 | $0.00 | |
| 1125F | 0% | 5,370 | $0.00 | |
| 1126F | 0% | 1,616 | $0.00 | |
| 99000 | 0% | 485 | $0.00 | |
| 90698 | 0% | 71 | $0.00 | |
| 90680 | 0% | 27 | $0.00 | |
| 97010 | 0% | 50 | $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 officialROLLER, MARY (ASSOCIATE DIRECTOR/ENROLLMENT)