Behavioral
Mckenzie Medical Center PC
Mckenzie Medical Center PC was paid $12.89M by Medicaid between Jan 2018 and Dec 2024, across 152 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoMCKENZIE MEDICAL CENTER PC
MC KENZIE, TN 38201
MC KENZIE, TN 38201
33aNPI1477516953assigned 04/07/2006
33bProvider typeClinical Social Worker
28Total paid$12.89M
24GClaims710,144
24DCodes billed152
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Tennessee
Rank by total paid#1 of 153
Median peer was paid$17K
This provider vs. median740×
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 | 152,118 | $2.59M | |
| 2019 | 122,050 | $2.14M | |
| 2020 | 74,996 | $1.62M | |
| 2021 | 73,077 | $1.63M | |
| 2022 | 65,718 | $1.52M | |
| 2023 | 121,653 | $1.80M | |
| 2024incomplete | 100,532 | $1.58M |
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% | 112,331 | 89,918 | $3.84M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 95,963 | 79,257 | $3.06M |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 11% | 8,405 | 6,012 | $1.47M |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.1% | 43,531 | 18,689 | $396K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.0% | 10,833 | 9,120 | $390K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.9% | 9,859 | 8,199 | $376K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.6% | 39,663 | 34,264 | $337K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.2% | 6,943 | 5,786 | $278K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 3,838 | 3,401 | $253K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.9% | 24,158 | 19,046 | $245K |
| 99490 | Ccm add 20min | 1.6% | 32,810 | 28,376 | $206K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 2,936 | 2,516 | $186K |
140 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 3,172 | $179K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 6,388 | $112K |
| 99406 | <1% | 21,471 | $111K | |
| 96160 | <1% | 5,608 | $110K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,514 | $106K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 12,061 | $96K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 2,749 | $88K |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 1,273 | $82K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | <1% | 300 | $72K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 903 | $71K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 974 | $68K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,215 | $56K |
| 99307 | <1% | 4,785 | $49K | |
| 96127 | <1% | 9,839 | $47K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 951 | $40K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 2,668 | $38K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 3,559 | $37K |
| 94729 | <1% | 2,809 | $36K | |
| 92551 | <1% | 5,056 | $32K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,079 | $29K |
| 99173 | <1% | 5,478 | $28K | |
| 94727 | <1% | 2,759 | $28K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 528 | $27K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 530 | $27K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,867 | $24K |
| 3008F | <1% | 25,378 | $19K | |
| 90837 | Psychotherapy session, about an hour | <1% | 455 | $17K |
| 92250 | <1% | 854 | $16K | |
| 94375 | <1% | 1,824 | $16K | |
| 90686 | <1% | 2,531 | $16K | |
| 81003 | <1% | 10,066 | $14K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 92 | $12K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 2,632 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,318 | $10K |
| H0033 | Oral medication administration, direct observation | <1% | 67 | $10K |
| 96161 | <1% | 593 | $8K | |
| 20610 | <1% | 253 | $6K | |
| 59426 | <1% | 14 | $6K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 54 | $6K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 28 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 98 | $5K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 201 | $5K |
| 94760 | <1% | 1,651 | $4K | |
| 99205 | Prolong outpt/office vis | <1% | 57 | $3K |
| 99401 | <1% | 144 | $3K | |
| 59425 | <1% | 14 | $3K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 3,675 | $3K |
| 95886 | <1% | 36 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 108 | $3K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 1,773 | $3K |
| 73630 | <1% | 396 | $3K | |
| 93000 | <1% | 354 | $3K | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 258 | $2K |
| 97802 | <1% | 515 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 626 | $2K |
| 3074F | <1% | 27,305 | $2K | |
| 81025 | <1% | 422 | $2K | |
| 95117 | <1% | 203 | $2K | |
| 3078F | <1% | 21,369 | $2K | |
| 90651 | <1% | 331 | $2K | |
| 94060 | <1% | 95 | $2K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 70 | $1K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 209 | $1K |
| 3079F | <1% | 10,830 | $1K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 4,111 | $1K |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 1,221 | $1K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 149 | $1K |
| 87807 | <1% | 102 | $968.19 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 27 | $955.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,271 | $900.40 |
| 99497 | <1% | 1,147 | $893.64 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 119 | $882.93 |
| 72100 | <1% | 104 | $839.05 | |
| 99381 | <1% | 15 | $795.21 | |
| 90670 | <1% | 2,281 | $743.96 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 53 | $594.42 |
| 90656 | <1% | 77 | $587.60 | |
| J1020 | Injection, methylprednisolone acetate, 20 mg | <1% | 110 | $578.71 |
| 90734 | <1% | 245 | $540.00 | |
| 99441 | <1% | 36 | $532.30 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,080 | $477.66 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $454.14 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 1,569 | $449.74 |
| 99487 | Ccm add 20min | <1% | 97 | $413.87 |
| 3075F | <1% | 3,574 | $407.00 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 113 | $399.08 |
| 90698 | <1% | 2,181 | $361.99 | |
| 1125F | <1% | 2,937 | $353.46 | |
| 90677 | <1% | 345 | $321.61 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 231 | $313.50 |
| 90710 | <1% | 88 | $275.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 17 | $270.74 |
| 90633 | <1% | 1,010 | $267.71 | |
| 74018 | <1% | 26 | $262.12 | |
| 97803 | <1% | 44 | $189.60 | |
| 90707 | <1% | 455 | $188.06 | |
| G0008 | Administration of influenza virus vaccine | <1% | 754 | $168.58 |
| 90716 | <1% | 446 | $145.00 | |
| 90696 | <1% | 168 | $139.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 18 | $131.73 |
| 3080F | <1% | 1,130 | $110.00 | |
| 3077F | <1% | 1,986 | $110.00 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 20 | $104.37 |
| 90680 | <1% | 1,462 | $101.65 | |
| J1071 | Injection, testosterone cypionate, 1 mg | <1% | 56 | $66.31 |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 65 | $52.96 |
| 3044F | <1% | 352 | $50.00 | |
| 94664 | <1% | 13 | $39.04 | |
| 90461 | <1% | 125 | $38.95 | |
| 90744 | <1% | 984 | $32.21 | |
| 1170F | <1% | 1,434 | $30.00 | |
| 3061F | <1% | 20 | $20.00 | |
| 90687 | <1% | 244 | $19.80 | |
| 1160F | <1% | 7,660 | $10.00 | |
| 1158F | <1% | 652 | $10.00 | |
| 90662 | <1% | 111 | $1.12 | |
| G9273 | Blood pressure has a systolic value of < 140 and a diastolic value of < 90 | 0% | 3,986 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 304 | $0.00 |
| 1126F | 0% | 382 | $0.00 | |
| 99366 | 0% | 162 | $0.00 | |
| 90619 | 0% | 80 | $0.00 | |
| 1111F | 0% | 23 | $0.00 | |
| 90723 | 0% | 59 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 696 | $0.00 |
| 1159F | 0% | 38,175 | $0.00 | |
| 2014F | 0% | 3,937 | $0.00 | |
| 0502F | 0% | 1,743 | $0.00 | |
| 3288F | 0% | 1,210 | $0.00 | |
| 4306F | 0% | 2,611 | $0.00 | |
| 2028F | 0% | 234 | $0.00 | |
| 3725F | 0% | 345 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,008 | $0.00 |
| 1026F | 0% | 360 | $0.00 | |
| 90648 | 0% | 210 | $0.00 | |
| 1003F | 0% | 2,607 | $0.00 | |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 699 | $0.00 |
| 2026F | 0% | 837 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 99499 | 0% | 140 | $0.00 | |
| 90715 | 0% | 70 | $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 officialETHERIDGE, TAMMY (CHIEF OPERATING OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Mckenzie Medical Center PC | Bruceton, TN | $86K |
| Mckenzie Medical Center PC | Mc Kenzie, TN | $72K |
| Mckenzie Medical Center, PC | Gleason, TN | $62K |
| Mckenzie Medical Center, PC | Dresden, TN | $52K |
| Mckenzie Medical Center, PC | Camden, TN | $19K |
| Mckenzie Medical Center PC | Mc Kenzie, TN | $7K |
| Mckenzie Medical Center PC | Huntingdon, TN | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.