Physician
Lafollette Health Clinic INC
Lafollette Health Clinic INC was paid $1.65M by Medicaid between Jan 2018 and Nov 2024, across 81 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoLAFOLLETTE HEALTH CLINIC INC
JACKSBORO, TN 37757
JACKSBORO, TN 37757
33aNPI1407031271assigned 12/29/2007
33bProvider typeInternal Medicine Physician
28Total paid$1.65M
24GClaims135,783
24DCodes billed81
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Tennessee
Rank by total paid#25 of 581
Median peer was paid$15K
This provider vs. median109×
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 | 6,840 | $116K | |
| 2019 | 7,987 | $139K | |
| 2020 | 7,318 | $113K | |
| 2021 | 32,809 | $330K | |
| 2022 | 30,698 | $365K | |
| 2023 | 30,375 | $342K | |
| 2024incomplete | 19,756 | $244K |
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 | 51% | 37,666 | 18,357 | $848K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 11% | 11,431 | 6,563 | $186K |
| 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 | 7.2% | 3,638 | 2,977 | $120K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.2% | 7,104 | 1,269 | $86K |
| 94010 | 4.8% | 5,371 | 4,535 | $79K | |
| 99223 | Prolong inpt eval add15 m | 3.7% | 1,509 | 1,267 | $61K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.5% | 1,392 | 1,145 | $58K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 3.1% | 4,450 | 3,823 | $50K |
| 93922 | 2.2% | 1,064 | 928 | $36K | |
| 99220 | 1.3% | 353 | 285 | $21K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.1% | 338 | 297 | $19K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 401 | 354 | $8K |
69 more codes
| 99217 | <1% | 308 | $7K | |
| 69210 | <1% | 494 | $7K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 756 | $7K |
| 82962 | <1% | 4,627 | $5K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 5,332 | $4K |
| 93224 | <1% | 68 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,360 | $4K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 165 | $4K |
| 99497 | <1% | 1,031 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 509 | $3K |
| 87430 | <1% | 474 | $3K | |
| 99496 | <1% | 73 | $3K | |
| 99225 | <1% | 191 | $3K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 188 | $3K |
| 90756 | <1% | 261 | $3K | |
| 94664 | <1% | 467 | $3K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 9,724 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 28 | $1K |
| 99221 | <1% | 27 | $792.69 | |
| 3008F | <1% | 2,903 | $770.28 | |
| 81000 | <1% | 367 | $718.02 | |
| 1160F | <1% | 2,014 | $600.28 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 1,093 | $562.52 |
| 3074F | <1% | 1,906 | $510.00 | |
| 99397 | <1% | 431 | $372.98 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 146 | $239.57 |
| 94760 | <1% | 109 | $232.51 | |
| 1159F | <1% | 820 | $220.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 3,066 | $184.17 |
| 1158F | <1% | 560 | $150.00 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 80 | $149.97 |
| 93000 | <1% | 18 | $134.44 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 12 | $95.28 |
| 82570 | <1% | 67 | $84.96 | |
| 3078F | <1% | 1,560 | $60.00 | |
| G0104 | Colorectal cancer screening; flexible sigmoidoscopy | <1% | 63 | $45.09 |
| G0008 | Administration of influenza virus vaccine | <1% | 86 | $38.13 |
| 99401 | <1% | 248 | $33.38 | |
| 96160 | <1% | 113 | $28.35 | |
| 82948 | <1% | 18 | $9.38 | |
| G0130 | Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) | <1% | 15 | $5.00 |
| 3014F | 0% | 1,033 | $0.00 | |
| 3079F | 0% | 447 | $0.00 | |
| 3075F | 0% | 161 | $0.00 | |
| 1125F | 0% | 1,150 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,048 | $0.00 |
| 1036F | 0% | 1,293 | $0.00 | |
| 3017F | 0% | 1,653 | $0.00 | |
| 3049F | 0% | 47 | $0.00 | |
| 3080F | 0% | 18 | $0.00 | |
| 4010F | 0% | 43 | $0.00 | |
| 1170F | 0% | 23 | $0.00 | |
| 3048F | 0% | 58 | $0.00 | |
| 1111F | 0% | 33 | $0.00 | |
| 96161 | 0% | 25 | $0.00 | |
| 3016F | 0% | 2,728 | $0.00 | |
| 4274F | 0% | 1,607 | $0.00 | |
| 1090F | 0% | 578 | $0.00 | |
| 3077F | 0% | 93 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,169 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 162 | $0.00 |
| 3095F | 0% | 198 | $0.00 | |
| 1100F | 0% | 517 | $0.00 | |
| 4004F | 0% | 844 | $0.00 | |
| 4040F | 0% | 1,144 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 103 | $0.00 |
| 99605 | 0% | 68 | $0.00 | |
| 3050F | 0% | 30 | $0.00 | |
| 2022F | 0% | 15 | $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 officialCHILDS, KATHY (OFFICE MANAGER)