Clinic
Rural Medical Services, INC.
Rural Medical Services, INC. was paid $2.92M by Medicaid between Jan 2018 and Dec 2024, across 80 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoRURAL MEDICAL SERVICES, INC.
NEWPORT, TN 37821
NEWPORT, TN 37821
33aNPI1437191194assigned 06/10/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.92M
24GClaims149,539
24DCodes billed80
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Tennessee
Rank by total paid#11 of 90
Median peer was paid$87K
This provider vs. median34×
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 | 12,174 | $293K | |
| 2019 | 12,986 | $341K | |
| 2020 | 11,591 | $286K | |
| 2021 | 26,941 | $500K | |
| 2022 | 29,285 | $483K | |
| 2023 | 31,772 | $513K | |
| 2024incomplete | 24,790 | $506K |
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 | 36% | 32,109 | 27,363 | $1.04M |
| 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 | 22% | 17,620 | 15,015 | $636K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 11% | 3,175 | 2,719 | $329K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 2,979 | 2,681 | $167K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.6% | 2,020 | 1,920 | $133K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.7% | 7,967 | 6,829 | $80K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.7% | 3,238 | 2,595 | $79K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.3% | 4,211 | 3,806 | $68K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.7% | 1,575 | 1,202 | $51K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.4% | 884 | 624 | $41K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.0% | 835 | 595 | $31K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,143 | 960 | $26K |
68 more codes
| 59426 | <1% | 63 | $25K | |
| 90678 | <1% | 130 | $23K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 297 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,212 | $17K |
| G0467 | Community health center visit, returning patient | <1% | 1,107 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 265 | $16K |
| 91320 | <1% | 152 | $14K | |
| 90686 | <1% | 1,658 | $12K | |
| 90715 | <1% | 470 | $11K | |
| 90473 | <1% | 897 | $10K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 90 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 117 | $7K |
| 99460 | <1% | 135 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 897 | $7K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 121 | $6K |
| 90688 | <1% | 1,290 | $5K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 99 | $5K |
| 90656 | <1% | 441 | $4K | |
| 92551 | <1% | 570 | $3K | |
| 76801 | <1% | 80 | $3K | |
| 3008F | <1% | 12,747 | $2K | |
| 90480 | <1% | 143 | $2K | |
| 90677 | <1% | 707 | $2K | |
| 96381 | <1% | 165 | $2K | |
| 81002 | <1% | 1,015 | $2K | |
| 99462 | <1% | 66 | $2K | |
| 3078F | <1% | 10,263 | $2K | |
| 3079F | <1% | 5,857 | $2K | |
| 99173 | <1% | 432 | $1K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 30 | $1K |
| 99177 | <1% | 278 | $1K | |
| 81025 | <1% | 398 | $1K | |
| 3074F | <1% | 11,267 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 45 | $768.06 |
| 3075F | <1% | 2,900 | $670.00 | |
| 3077F | <1% | 1,249 | $450.00 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 14 | $444.28 |
| 59025 | Fetal non-stress test | <1% | 19 | $357.63 |
| 90670 | <1% | 1,330 | $316.44 | |
| 85018 | <1% | 206 | $283.01 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 14 | $147.90 |
| 36415 | Collection of venous blood by venipuncture | <1% | 179 | $147.79 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 128 | $83.52 |
| G0008 | Administration of influenza virus vaccine | <1% | 314 | $65.60 |
| 0502F | <1% | 6,509 | $22.00 | |
| 3080F | <1% | 31 | $20.00 | |
| 0503F | <1% | 284 | $10.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | $3.51 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 15 | $1.76 |
| 90723 | 0% | 848 | $0.00 | |
| 90680 | 0% | 1,000 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| 0501F | 0% | 148 | $0.00 | |
| 3044F | 0% | 114 | $0.00 | |
| 90381 | 0% | 17 | $0.00 | |
| 90674 | 0% | 14 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 58 | $0.00 |
| 2001F | 0% | 26 | $0.00 | |
| 90633 | 0% | 155 | $0.00 | |
| 1160F | 0% | 14 | $0.00 | |
| 90685 | 0% | 47 | $0.00 | |
| 90648 | 0% | 1,239 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 38 | $0.00 |
| 99072 | 0% | 168 | $0.00 | |
| 90662 | 0% | 102 | $0.00 | |
| 90707 | 0% | 28 | $0.00 | |
| 90380 | 0% | 20 | $0.00 | |
| 90687 | 0% | 26 | $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 officialSTANIFER, LARRY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Rural Medical Services, INC. | Newport, TN | $260K |
| Rural Medical Services, INC. | Parrottsville, TN | $163K |
| Rural Medical Services, INC. | Hartford, TN | $87K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.