Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Shelbyville › NPI 1518563444
NP / PA

Fox Medical Group LLC

Fox Medical Group LLC was paid $54K by Medicaid between Sep 2021 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.

33Billing provider infoFOX MEDICAL GROUP LLC
SHELBYVILLE, TN 37160
33aNPI1518563444assigned 12/07/2020
28Total paid$54K
24GClaims1,792
24DCodes billed9
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Tennessee

Rank by total paid#202 of 687
Median peer was paid$15K
This provider vs. median3.7×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
202145$2K
2022510$15K
2023606$18K
2024incomplete631$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38% 723 524 $21K
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 37% 467 378 $20K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 12% 245 195 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 5.1% 59 55 $3K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.3% 39 29 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.7% 149 57 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 57 50 $538.64
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 24 12 $290.30
36415 Collection of venous blood by venipuncture <1% 29 24 $43.40

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 officialFOX, KATHERINE (NURSE PRACTITIONER)