Hospital
Cherokee Mountain Medical, PC
Cherokee Mountain Medical, PC was paid $83K by Medicaid between Nov 2020 and Dec 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoCHEROKEE MOUNTAIN MEDICAL, PC
JONESBOROUGH, TN 37659
JONESBOROUGH, TN 37659
33aNPI1518588169assigned 05/05/2020
33bProvider typeRural Acute Care Hospital
28Total paid$83K
24GClaims9,615
24DCodes billed15
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Rural Acute Care Hospital providers in Tennessee
Rank by total paid#7 of 7
Median peer was paid$3.62M
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2020 | 49 | $425.92 | |
| 2021 | 1,406 | $15K | |
| 2022 | 4,192 | $21K | |
| 2023 | 2,465 | $23K | |
| 2024incomplete | 1,503 | $24K |
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 | 60% | 2,988 | 1,919 | $50K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 1,347 | 885 | $17K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 9.2% | 1,620 | 1,005 | $8K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.5% | 197 | 131 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.3% | 837 | 511 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.6% | 56 | 45 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,076 | 728 | $590.46 |
| 81002 | <1% | 818 | 574 | $518.13 | |
| 93000 | <1% | 129 | 88 | $203.44 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25 | 13 | $152.49 |
| 80305 | <1% | 138 | 91 | $137.33 | |
| 99406 | <1% | 71 | 40 | $78.89 |
3 more codes
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 officialCOX, LAURA (OWNER)