Physician
Munsey Enterprises INC
Munsey Enterprises INC was paid $7K by Medicaid between Nov 2021 and Mar 2022, across 4 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 51% of everything it billed.
33Billing provider infoMUNSEY ENTERPRISES INC
OAK RIDGE, TN 37830
OAK RIDGE, TN 37830
33aNPI1467021840assigned 06/21/2021
33bProvider typeFamily Medicine Physician
28Total paid$7K
24GClaims342
24DCodes billed4
24AFirst – last monthNov 2021 – Mar 2022
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#520 of 754
Median peer was paid$34K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 80 | $1K | |
| 2022 | 262 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 51% | 127 | 108 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 141 | 121 | $2K |
| 87428 | 11% | 14 | 12 | $763.08 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.1% | 60 | 51 | $561.18 |
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 officialMUNSEY, JAMES (OWNER/AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Munsey Enterprises INC | Oak Ridge, TN | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.