Physician
Advanced Family Healthcare
Advanced Family Healthcare was paid $748K by Medicaid between May 2021 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoADVANCED FAMILY HEALTHCARE
CUMBERLAND GAP, TN 37724
CUMBERLAND GAP, TN 37724
33aNPI1518551688assigned 03/01/2021
33bProvider typeFamily Medicine Physician
28Total paid$748K
24GClaims25,174
24DCodes billed25
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#74 of 754
Median peer was paid$34K
This provider vs. median22×
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 | 2,930 | $110K | |
| 2022 | 6,822 | $204K | |
| 2023 | 8,697 | $252K | |
| 2024incomplete | 6,725 | $182K |
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 | 54% | 7,743 | 5,487 | $407K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 13% | 2,779 | 2,283 | $99K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 6.2% | 4,019 | 1,684 | $46K |
| 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 | 5.8% | 595 | 474 | $43K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.5% | 1,166 | 988 | $41K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.9% | 923 | 622 | $37K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.0% | 1,916 | 1,003 | $23K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 1,700 | 1,469 | $18K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.8% | 191 | 73 | $13K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 291 | 191 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 171 | 130 | $4K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 30 | 26 | $2K |
13 more codes
| 96160 | <1% | 221 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,072 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 86 | $1K |
| 92552 | <1% | 67 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 81 | $900.12 |
| 81003 | <1% | 467 | $782.42 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 529 | $658.75 |
| 96127 | <1% | 153 | $594.81 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 779 | $454.95 |
| 99173 | <1% | 80 | $438.53 | |
| 87807 | <1% | 43 | $405.40 | |
| 81002 | <1% | 42 | $70.83 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 30 | $20.76 |
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 officialWARREN, JESSICA (FNP-BC)