NP / PA
Ballard Family Medical, INC
Ballard Family Medical, INC was paid $350K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
33Billing provider infoBALLARD FAMILY MEDICAL, INC
WINCHESTER, TN 37398
WINCHESTER, TN 37398
33aNPI1407121635assigned 03/21/2012
33bProvider typeFamily Nurse Practitioner
28Total paid$350K
24GClaims15,458
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Tennessee
Rank by total paid#51 of 687
Median peer was paid$15K
This provider vs. median24×
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 | 2,949 | $54K | |
| 2019 | 3,129 | $62K | |
| 2020 | 2,617 | $49K | |
| 2021 | 2,304 | $53K | |
| 2022 | 1,703 | $48K | |
| 2023 | 1,694 | $51K | |
| 2024incomplete | 1,062 | $32K |
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 | 64% | 7,328 | 5,720 | $225K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 2,342 | 1,922 | $60K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.2% | 675 | 560 | $29K |
| 99406 | 5.1% | 2,621 | 2,173 | $18K | |
| 99407 | 3.0% | 925 | 857 | $10K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.4% | 583 | 484 | $5K |
| 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% | 20 | 15 | $712.24 |
| 92551 | <1% | 157 | 131 | $489.01 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 33 | 31 | $454.20 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 32 | 15 | $333.08 |
| 90686 | <1% | 46 | 37 | $307.95 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 69 | 55 | $296.97 |
8 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 159 | $247.29 |
| 90688 | <1% | 38 | $216.10 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 176 | $149.08 |
| 81002 | <1% | 64 | $95.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 48 | $54.57 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $35.02 |
| G0008 | Administration of influenza virus vaccine | 0% | 46 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 83 | $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 officialBALLARD, BRANDY (PROVIDER)