Sequatchie Valley Primary Care
Sequatchie Valley Primary Care was paid $43K by Medicaid between Jan 2018 and Sep 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 97% of everything it billed.
33Billing provider infoSEQUATCHIE VALLEY PRIMARY CARE
KIMBALL, TN 37347
KIMBALL, TN 37347
33aNPI1518171040assigned 05/10/2007
33bProvider typeContractor
28Total paid$43K
24GClaims2,229
24DCodes billed5
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Contractor providers in Tennessee
Rank by total paid#7 of 7
Median peer was paid$440K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2018 | 613 | $13K | |
| 2019 | 662 | $16K | |
| 2020 | 329 | $5K | |
| 2021 | 175 | $2K | |
| 2022 | 179 | $3K | |
| 2023 | 114 | $1K | |
| 2024incomplete | 157 | $2K |
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 | 97% | 2,039 | 1,610 | $41K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 93 | 75 | $1K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 63 | 52 | $76.55 |
| 90756 | <1% | 15 | 12 | $73.77 | |
| G0008 | Administration of influenza virus vaccine | <1% | 19 | 16 | $12.52 |
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 officialBOECK, KARIN (PRESIDENT)