NP / PA
Providence Family Medicine
Providence Family Medicine was paid $353K by Medicaid between Jan 2020 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoPROVIDENCE FAMILY MEDICINE
SPARTA, TN 38583
SPARTA, TN 38583
33aNPI1437703741assigned 07/25/2019
33bProvider typePhysician Assistant
28Total paid$353K
24GClaims31,773
24DCodes billed32
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Tennessee
Rank by total paid#32 of 200
Median peer was paid$36K
This provider vs. median9.7×
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 | |
|---|---|---|---|
| 2020 | 491 | $4K | |
| 2021 | 8,655 | $101K | |
| 2022 | 8,529 | $95K | |
| 2023 | 7,422 | $89K | |
| 2024incomplete | 6,676 | $63K |
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 | 63% | 6,838 | 5,259 | $220K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 11% | 1,699 | 1,188 | $40K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.8% | 1,173 | 770 | $31K |
| 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 | 8.7% | 889 | 711 | $31K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 141 | 100 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 94 | 77 | $5K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.1% | 132 | 104 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 483 | 366 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 349 | 309 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,618 | 1,238 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 128 | 105 | $1K |
| 86328 | <1% | 27 | 18 | $1K |
20 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 16 | $927.72 |
| 96127 | <1% | 220 | $883.62 | |
| 99406 | <1% | 87 | $451.60 | |
| 99173 | <1% | 117 | $449.70 | |
| 3078F | <1% | 4,141 | $330.00 | |
| 3074F | <1% | 4,446 | $330.00 | |
| 92552 | <1% | 21 | $252.26 | |
| 99408 | <1% | 62 | $244.33 | |
| 3079F | <1% | 809 | $140.00 | |
| 81002 | <1% | 71 | $104.13 | |
| 99490 | Ccm add 20min | <1% | 12 | $85.59 |
| 87807 | <1% | 22 | $78.29 | |
| 90688 | <1% | 29 | $41.76 | |
| 3077F | <1% | 84 | $30.00 | |
| 3008F | <1% | 7,652 | $20.00 | |
| 3075F | <1% | 210 | $20.00 | |
| 90670 | 0% | 21 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 124 | $0.00 |
| 96160 | 0% | 13 | $0.00 | |
| 90698 | 0% | 45 | $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 officialHUFF, KATINA (OWNER)