Delta Clinics, PLC

Delta Clinics, PLC was paid $2.60M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.

33Billing provider infoDELTA CLINICS, PLC
LEXINGTON, TN 38351

33aNPI1396033379assigned 07/12/2011

33bProvider typeCardiovascular Disease Physician

28Total paid$2.60M

24GClaims138,055

24DCodes billed78

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Tennessee

Rank by total paid#3 of 136

Median peer was paid$21K

This provider vs. median123×

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	18,374	$380K
2019	22,417	$423K
2020	18,649	$336K
2021	22,655	$391K
2022	19,001	$348K
2023	20,134	$365K
2024incomplete	16,825	$361K

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	28%	36,337	28,877	$733K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	20%	13,992	11,419	$524K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	10%	3,642	2,674	$263K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.7%	15,407	12,390	$228K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	6.5%	14,594	6,609	$170K
A9502	Technetium tc-99m tetrofosmin, diagnostic, per study dose	4.5%	2,453	1,762	$117K
93458		2.5%	897	722	$64K
99223	Prolong inpt eval add15 m	2.3%	1,726	1,410	$61K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.5%	2,318	1,106	$39K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	1.4%	12,032	9,809	$37K
93298		1.3%	3,335	2,903	$34K
G2066	Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results	1.2%	2,489	2,064	$31K

66 more codes

93015		1.2%	1,504	$30K
93925		1.1%	701	$29K
99204	Doctor's office visit, new patient (more involved)	1.0%	582	$27K
J2785	Injection, regadenoson, 0.1 mg	<1%	573	$21K
78431		<1%	96	$19K
75574		<1%	119	$13K
93308		<1%	510	$12K
93296		<1%	2,508	$11K
99203	Doctor's office visit, new patient (routine)	<1%	268	$10K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	1,667	$9K
93294		<1%	1,917	$9K
A9555	Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries	<1%	131	$8K
93018		<1%	1,426	$8K
93970		<1%	151	$8K
93325		<1%	488	$7K
99220		<1%	164	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	559	$6K
93299		<1%	572	$6K
J1245	Injection, dipyridamole, per 10 mg	<1%	1,339	$5K
93295		<1%	402	$5K
93244		<1%	584	$5K
93280		<1%	825	$4K
93321		<1%	464	$4K
93017		<1%	356	$3K
93228		<1%	383	$3K
93242		<1%	583	$3K
93016		<1%	499	$3K
93248		<1%	293	$3K
99222	Initial hospital care, per day, moderate complexity	<1%	93	$2K
93297		<1%	484	$2K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	951	$2K
36415	Collection of venous blood by venipuncture	<1%	2,612	$2K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	280	$2K
93880		<1%	90	$1K
93246		<1%	293	$1K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	65	$1K
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	434	$1K
95251		<1%	105	$1K
93288		<1%	250	$1K
93971		<1%	36	$1K
99217		<1%	64	$991.51
93000		<1%	144	$865.38
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	104	$855.51
93291		<1%	57	$638.70
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	31	$607.40
99238	Hospital discharge day management, 30 minutes or less	<1%	44	$590.11
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	86	$571.67
93923		<1%	42	$567.65
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	800	$547.92
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	101	$488.57
93289		<1%	48	$452.61
78434		<1%	25	$387.09
90674		<1%	53	$264.00
93356		<1%	20	$107.46
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	488	$93.16
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	26	$81.57
G0008	Administration of influenza virus vaccine	<1%	14	$20.98
G0444	Annual depression screening, 5 to 15 minutes	<1%	16	$12.37
3078F		<1%	493	$10.00
0296T		<1%	13	$6.54
J1010	Injection, methylprednisolone acetate, 1 mg	<1%	19	$0.35
3079F		0%	383	$0.00
3075F		0%	77	$0.00
3074F		0%	247	$0.00
3080F		0%	52	$0.00
3077F		0%	29	$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 officialOKEWOLE, SIMON (CEO)