Hawkins Physician Services, PLLC

Hawkins Physician Services, PLLC was paid $109K by Medicaid between Jan 2018 and Oct 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider infoHAWKINS PHYSICIAN SERVICES, PLLC
ROGERSVILLE, TN 37857

33aNPI1437502960assigned 07/20/2016

33bProvider typeSleep Medicine (Internal Medicine) Physician

28Total paid$109K

24GClaims6,199

24DCodes billed15

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Sleep Medicine (Internal Medicine) Physician providers in Tennessee

Rank by total paid#6 of 16

Median peer was paid$14K

This provider vs. median8.0×

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	1,873	$20K
2019	1,521	$27K
2020	900	$19K
2021	843	$18K
2022	457	$10K
2023	556	$13K
2024incomplete	49	$2K

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	52%	2,569	1,962	$57K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	14%	484	339	$16K
99205	Prolong outpt/office vis	9.6%	196	132	$10K
94729		8.3%	728	493	$9K
94727		6.7%	723	492	$7K
94060		4.1%	419	258	$4K
94010		2.4%	216	156	$3K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	1.1%	346	207	$1K
95806		<1%	16	12	$896.48
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	<1%	36	24	$223.23
J7620	Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	<1%	89	62	$4.38
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	250	143	$2.82

3 more codes

G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	82	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	32	$0.00
G9744	Patient not eligible due to active diagnosis of hypertension	0%	13	$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 officialSHAH, LATA (PHYSICIAN)