Cleveland Medical Clinic INC
Cleveland Medical Clinic INC was paid $1.75M by Medicaid between Jan 2018 and Jul 2024, across 66 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
CLEVELAND, TN 37311
Next to other Internal Medicine Physician providers in Tennessee
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 12,207 | $291K | |
| 2019 | 15,991 | $350K | |
| 2020 | 15,698 | $287K | |
| 2021 | 31,011 | $322K | |
| 2022 | 23,699 | $213K | |
| 2023 | 19,935 | $172K | |
| 2024incomplete | 13,371 | $111K |
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% | 18,168 | 13,777 | $521K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 10,962 | 3,958 | $199K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 8,143 | 6,234 | $196K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 9.1% | 7,849 | 6,332 | $159K |
| 99223 | Prolong inpt eval add15 m | 5.9% | 2,367 | 1,928 | $103K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 5.2% | 29,482 | 21,332 | $91K |
| 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 | 4.0% | 1,205 | 1,035 | $70K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.9% | 1,550 | 1,277 | $68K |
| 99221 | 3.8% | 1,873 | 1,584 | $66K | |
| 95886 | 3.5% | 1,040 | 813 | $62K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 3.3% | 1,225 | 1,003 | $58K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.6% | 2,363 | 929 | $45K |
54 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | 1.3% | 715 | $22K |
| 93000 | 1.0% | 2,631 | $18K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 162 | $9K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 299 | $6K |
| 95909 | <1% | 114 | $6K | |
| 95911 | <1% | 30 | $5K | |
| 93016 | <1% | 515 | $4K | |
| 93018 | <1% | 516 | $4K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 55 | $3K |
| 95816 | <1% | 144 | $3K | |
| 95885 | <1% | 66 | $3K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 251 | $2K |
| G0427 | Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth | <1% | 36 | $2K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 776 | $2K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 117 | $2K |
| 72040 | <1% | 207 | $2K | |
| 99442 | <1% | 126 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 66 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 163 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 16 | $1K |
| G0425 | Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth | <1% | 46 | $1K |
| 99443 | <1% | 56 | $824.72 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 70 | $715.37 |
| 97597 | <1% | 44 | $633.39 | |
| 72100 | <1% | 63 | $594.67 | |
| 95819 | <1% | 15 | $559.56 | |
| 99152 | <1% | 62 | $512.24 | |
| 99406 | <1% | 115 | $430.86 | |
| 3078F | <1% | 4,260 | $364.54 | |
| 92552 | <1% | 17 | $313.80 | |
| 3074F | <1% | 4,468 | $311.30 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 50 | $283.18 |
| 72082 | <1% | 15 | $240.60 | |
| 99454 | <1% | 60 | $132.79 | |
| 3079F | <1% | 1,088 | $110.00 | |
| 99173 | <1% | 22 | $101.34 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 68 | $85.76 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 18 | $69.86 |
| 3075F | <1% | 224 | $20.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 17 | $2.11 |
| 1159F | 0% | 2,958 | $0.00 | |
| 1160F | 0% | 4,228 | $0.00 | |
| 3725F | 0% | 463 | $0.00 | |
| 3077F | 0% | 132 | $0.00 | |
| 99499 | 0% | 12 | $0.00 | |
| 3288F | 0% | 14 | $0.00 | |
| 1090F | 0% | 12 | $0.00 | |
| 1036F | 0% | 8,422 | $0.00 | |
| 3008F | 0% | 9,053 | $0.00 | |
| 1126F | 0% | 1,726 | $0.00 | |
| 1125F | 0% | 564 | $0.00 | |
| 1034F | 0% | 294 | $0.00 | |
| 1170F | 0% | 12 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Oak Hill Clinic Corp | Oak Hill, WV | $2.28M |
| Carolinas Medical Alliance INC | Florence, SC | $761K |
| Lake Area Physician Services LLC | Lake Charles, LA | $666K |
| Moberly Medical Clinics INC | Moberly, MO | $372K |
| Dyersburg Clinic Corp | Dyersburg, TN | $259K |
| Madison Clinic Corp | Jackson, TN | $132K |
| Carolinas Medical Alliance INC | Florence, SC | $73K |
| Carolinas Medical Alliance INC | Florence, SC | $62K |
| Franklin Hospital Corporation | Franklin, VA | $20K |
| DCF | Abilene, TX | $20K |
| Carolinas Medical Alliance INC | Pamplico, SC | $11K |
| Carolinas Medical Alliance INC | Florence, SC | $9K |
| Carlsbad Medical Center LLC | Carlsbad, NM | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.