Clinic
Ocoee Regional Health Corporation
Ocoee Regional Health Corporation was paid $2.35M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoOCOEE REGIONAL HEALTH CORPORATION
BENTON, TN 37307
BENTON, TN 37307
33aNPI1386857381assigned 05/07/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.35M
24GClaims141,928
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Tennessee
Rank by total paid#13 of 90
Median peer was paid$87K
This provider vs. median27×
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 | 21,130 | $335K | |
| 2019 | 22,530 | $370K | |
| 2020 | 16,295 | $263K | |
| 2021 | 19,977 | $332K | |
| 2022 | 22,047 | $356K | |
| 2023 | 21,880 | $373K | |
| 2024incomplete | 18,069 | $324K |
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 | 49% | 37,448 | 30,511 | $1.15M |
| 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 | 31% | 17,932 | 15,098 | $736K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.7% | 14,295 | 11,996 | $63K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 1,056 | 889 | $55K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.9% | 780 | 667 | $44K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.6% | 560 | 515 | $37K |
| 36415 | Collection of venous blood by venipuncture | 1.4% | 24,863 | 20,662 | $33K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 3,310 | 1,586 | $32K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.1% | 2,412 | 1,667 | $25K |
| 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 | <1% | 269 | 230 | $22K |
| 80061 | Lipid panel | <1% | 7,521 | 6,341 | $22K |
| 93000 | <1% | 1,578 | 1,358 | $18K |
42 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,934 | $15K |
| 90688 | <1% | 1,010 | $14K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 826 | $14K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 6,883 | $12K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 219 | $12K |
| 81003 | <1% | 8,447 | $9K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,449 | $9K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 207 | $5K |
| 90756 | <1% | 300 | $5K | |
| 99442 | <1% | 220 | $4K | |
| 99173 | <1% | 493 | $2K | |
| 92587 | <1% | 94 | $2K | |
| 90715 | <1% | 75 | $2K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 65 | $2K |
| 92551 | <1% | 178 | $1K | |
| 90658 | <1% | 84 | $1K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 218 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $853.04 |
| 81025 | <1% | 121 | $549.99 | |
| 99441 | <1% | 51 | $529.36 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 111 | $489.16 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 27 | $488.32 |
| 90674 | <1% | 21 | $425.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 39 | $330.68 |
| 3079F | <1% | 460 | $250.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 558 | $227.04 |
| 3074F | <1% | 948 | $200.00 | |
| 3078F | <1% | 881 | $180.00 | |
| 3044F | <1% | 2,769 | $120.00 | |
| 3077F | <1% | 237 | $115.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 99 | $101.91 |
| 90694 | <1% | 48 | $84.00 | |
| 3075F | <1% | 264 | $60.00 | |
| 82947 | <1% | 20 | $51.26 | |
| Q2039 | Influenza virus vaccine, not otherwise specified | <1% | 80 | $23.99 |
| 3080F | <1% | 20 | $20.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 220 | $19.46 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 14 | $4.27 |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | <1% | 137 | $1.01 |
| 1111F | 0% | 14 | $0.00 | |
| 90653 | 0% | 26 | $0.00 | |
| 3046F | 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 officialMOATS, BILL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Ocoee Regional Health Corporation | Pikeville, TN | $141K |
| Ocoee Regional Health Corporation | Coalmont, TN | $26K |
| Ocoee Regional Health Corporation | Dayton, TN | $16K |
| Ocoee Regional Health Corporation | Decatur, TN | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.