Physician
Main Street Family Medicine INC
Main Street Family Medicine INC was paid $450K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.
33Billing provider infoMAIN STREET FAMILY MEDICINE INC
HENDERSON, TN 38340
HENDERSON, TN 38340
33aNPI1538191135assigned 07/06/2006
33bProvider typeFamily Medicine Physician
28Total paid$450K
24GClaims20,495
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#111 of 754
Median peer was paid$34K
This provider vs. median13×
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 | 3,035 | $63K | |
| 2019 | 3,572 | $72K | |
| 2020 | 2,212 | $52K | |
| 2021 | 3,155 | $65K | |
| 2022 | 3,574 | $79K | |
| 2023 | 3,198 | $70K | |
| 2024incomplete | 1,749 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 85% | 13,067 | 10,993 | $384K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.6% | 1,658 | 773 | $21K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.4% | 2,736 | 2,341 | $15K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.0% | 1,143 | 824 | $13K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 515 | 470 | $7K |
| 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 | <1% | 149 | 116 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 142 | 134 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 785 | 657 | $697.35 |
| 90688 | <1% | 46 | 38 | $174.57 | |
| 36416 | <1% | 60 | 49 | $123.95 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 129 | 121 | $87.54 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 20 | 12 | $47.34 |
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 officialSCHWARTZ, PAUL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Shasta Orthopedics & Sports Medicine a Medical Corporation | Redding, CA | $7.06M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.