Supplier
Professional Care Services of West TN, INC.
Professional Care Services of West TN, INC. was paid $33.20M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is S0280, Medical home program, comprehensive care coordination and planning, initial plan — 50% of everything it billed.
33Billing provider infoPROFESSIONAL CARE SERVICES OF WEST TN, INC.
COVINGTON, TN 38019
COVINGTON, TN 38019
33aNPI1457351215assigned 07/22/2005
33bProvider typeLong Term Care Pharmacy
28Total paid$33.20M
24GClaims538,394
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Long Term Care Pharmacy providers in Tennessee
Rank by total paid#1 of 8
Median peer was paid$19.36
This provider vs. median1,714,985×
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 | 79,222 | $4.74M | |
| 2019 | 77,736 | $4.50M | |
| 2020 | 74,013 | $4.76M | |
| 2021 | 67,091 | $4.20M | |
| 2022 | 75,431 | $4.50M | |
| 2023 | 86,400 | $5.58M | |
| 2024incomplete | 78,501 | $4.93M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 50% | 101,419 | 91,887 | $16.58M |
| H0043 | Supported housing, per diem | 30% | 117,883 | 3,674 | $9.86M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.5% | 46,023 | 38,664 | $1.82M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.2% | 22,572 | 13,943 | $1.41M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.3% | 17,280 | 11,196 | $757K |
| 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 | 2.2% | 14,700 | 11,608 | $728K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.0% | 8,185 | 6,711 | $669K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.1% | 5,027 | 4,153 | $354K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.0% | 4,152 | 2,588 | $340K |
| H0037 | Community psychiatric supportive treatment program, per diem | <1% | 4,603 | 917 | $323K |
| H0034 | Medication training and support, per 15 minutes | <1% | 3,945 | 1,380 | $167K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,557 | 3,234 | $85K |
19 more codes
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 793 | $62K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 5,886 | $24K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,705 | $8K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 355 | $7K |
| 96130 | <1% | 82 | $6K | |
| 96136 | <1% | 87 | $2K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 28 | $2K |
| 96137 | <1% | 54 | $986.20 | |
| G9005 | Coordinated care fee, risk adjusted maintenance | <1% | 30,205 | $711.34 |
| 99442 | <1% | 14 | $210.78 | |
| 99441 | <1% | 22 | $140.82 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $58.37 |
| S9484 | Crisis intervention mental health services, per hour | <1% | 1,051 | $2.87 |
| G9004 | Coordinated care fee, risk adjusted low, initial | <1% | 30,418 | $0.02 |
| G9006 | Coordinated care fee, home monitoring | <1% | 41,943 | $0.01 |
| G9007 | Coordinated care fee, scheduled team conference | 0% | 1,302 | $0.00 |
| G9011 | Coordinated care fee, risk adjusted maintenance, level 5 | 0% | 2,016 | $0.00 |
| G9010 | Coordinated care fee, risk adjusted maintenance, level 4 | 0% | 70,061 | $0.00 |
| 80305 | 0% | 14 | $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 officialJACKSON, JIMMIE (CEO)