Physician
Due West Family Healthcare INC
Due West Family Healthcare INC was paid $629K by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoDUE WEST FAMILY HEALTHCARE INC
MADISON, TN 37115
MADISON, TN 37115
33aNPI1457346702assigned 09/13/2005
33bProvider typeFamily Medicine Physician
28Total paid$629K
24GClaims67,555
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#88 of 754
Median peer was paid$34K
This provider vs. median19×
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 | 20,226 | $141K | |
| 2019 | 16,774 | $136K | |
| 2020 | 11,750 | $95K | |
| 2021 | 7,984 | $69K | |
| 2022 | 5,956 | $73K | |
| 2023 | 3,471 | $64K | |
| 2024incomplete | 1,394 | $51K |
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 | 30% | 4,554 | 3,514 | $186K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 5,084 | 4,050 | $168K |
| 99221 | 16% | 2,345 | 2,193 | $99K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 5.9% | 3,845 | 2,836 | $37K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.5% | 857 | 674 | $22K |
| 99406 | 3.3% | 2,952 | 2,190 | $21K | |
| 3008F | 1.6% | 5,593 | 3,867 | $10K | |
| 1159F | 1.6% | 6,812 | 4,780 | $10K | |
| 1160F | 1.5% | 6,645 | 4,664 | $10K | |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.5% | 1,638 | 1,302 | $10K |
| 81002 | 1.5% | 5,709 | 4,280 | $9K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 1.2% | 1,548 | 1,232 | $8K |
29 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.1% | 591 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,845 | $6K |
| 1126F | <1% | 2,120 | $5K | |
| 1125F | <1% | 901 | $3K | |
| 3079F | <1% | 786 | $2K | |
| 3074F | <1% | 1,186 | $2K | |
| 3078F | <1% | 862 | $2K | |
| 82962 | <1% | 1,592 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 98 | $2K |
| 3077F | <1% | 586 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 29 | $1K |
| 3080F | <1% | 321 | $1K | |
| 80305 | <1% | 177 | $938.41 | |
| 3075F | <1% | 287 | $680.00 | |
| 1158F | <1% | 94 | $550.00 | |
| 94060 | <1% | 16 | $436.24 | |
| 3044F | <1% | 94 | $200.00 | |
| 1170F | <1% | 47 | $170.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 69 | $134.93 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 16 | $11.72 |
| 4013F | 0% | 1,901 | $0.00 | |
| 2028F | 0% | 411 | $0.00 | |
| 99072 | 0% | 907 | $0.00 | |
| 1090F | 0% | 389 | $0.00 | |
| 3050F | 0% | 40 | $0.00 | |
| 4010F | 0% | 2,402 | $0.00 | |
| 3048F | 0% | 170 | $0.00 | |
| 3049F | 0% | 16 | $0.00 | |
| 4008F | 0% | 20 | $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 officialYORK, PAT (ADMINISTRATIVE ASSISTANT)
| Provider | Location | Paid |
|---|---|---|
| Tullahoma Advanced Care INC. | Tullahoma, TN | $25K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.