Physician
Monterey Medical LLC
Monterey Medical LLC was paid $36K by Medicaid between Oct 2021 and Oct 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoMONTEREY MEDICAL LLC
MONTEREY, TN 38574
MONTEREY, TN 38574
33aNPI1497339790assigned 05/12/2021
33bProvider typeFamily Medicine Physician
28Total paid$36K
24GClaims1,592
24DCodes billed7
24AFirst – last monthOct 2021 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#365 of 754
Median peer was paid$34K
This provider vs. median1.1×
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 | 32 | $582.40 | |
| 2022 | 994 | $27K | |
| 2024incomplete | 566 | $8K |
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 | 50% | 600 | 516 | $18K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 493 | 432 | $12K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.9% | 80 | 68 | $4K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 4.6% | 56 | 51 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 25 | 24 | $488.06 |
| 36415 | Collection of venous blood by venipuncture | <1% | 325 | 285 | $360.65 |
| 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 | <1% | 13 | 12 | $6.40 |
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 officialVAUGHN, CRYSTAL (VICE PRESIDENT)