Encore Health and Wellness PLLC

Encore Health and Wellness PLLC was paid $3K by Medicaid between Oct 2018 and Apr 2019, across 4 billing codes. Its largest line is 90836, — 46% of everything it billed.

33Billing provider infoENCORE HEALTH AND WELLNESS PLLC
SOMERVILLE, TN 38068

33aNPI1386133551assigned 05/03/2018

33bProvider typeAddiction (Substance Use Disorder) Counselor

28Total paid$3K

24GClaims251

24DCodes billed4

24AFirst – last monthOct 2018 – Apr 2019

Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Tennessee

Rank by total paid#13 of 14

Median peer was paid$46K

This provider vs. median0.1×

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	60	$717.07
2019	191	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90836		46%	110	63	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	25%	74	42	$631.29
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	20%	49	29	$522.46
90792	Psychiatric diagnostic evaluation with medical services	8.5%	18	15	$216.98

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 officialBALOGH, SCOTT (OWNER)