Physician
Allergy & Asthma Care, PLC
Allergy & Asthma Care, PLC was paid $60K by Medicaid between Jan 2018 and Apr 2019, across 8 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 28% of everything it billed.
33Billing provider infoALLERGY & ASTHMA CARE, PLC
GERMANTOWN, TN 38138
GERMANTOWN, TN 38138
33aNPI1467483974assigned 07/05/2006
33bProvider typeAllergy & Immunology Physician
28Total paid$60K
24GClaims3,065
24DCodes billed8
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Allergy & Immunology Physician providers in Tennessee
Rank by total paid#12 of 27
Median peer was paid$48K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2018 | 2,679 | $56K | |
| 2019 | 386 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 28% | 222 | 188 | $17K |
| 95115 | 25% | 1,847 | 870 | $15K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 516 | 432 | $13K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 9.9% | 74 | 70 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.4% | 100 | 96 | $5K |
| 94010 | 7.9% | 230 | 189 | $5K | |
| 85048 | 0% | 38 | 30 | $0.00 | |
| 85004 | 0% | 38 | 30 | $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 officialBLAISS, MICHAEL (PRESIDENT/PHYSICIAN)