Physician
Spectrum Medical Associates
Spectrum Medical Associates was paid $18K by Medicaid between Jan 2018 and Mar 2023, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoSPECTRUM MEDICAL ASSOCIATES
TULLAHOMA, TN 37388
TULLAHOMA, TN 37388
33aNPI1548458573assigned 10/03/2007
33bProvider typeFamily Medicine Physician
28Total paid$18K
24GClaims1,986
24DCodes billed4
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#452 of 754
Median peer was paid$34K
This provider vs. median0.5×
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 | 525 | $5K | |
| 2019 | 469 | $5K | |
| 2020 | 360 | $3K | |
| 2021 | 464 | $4K | |
| 2022 | 149 | $1K | |
| 2023 | 19 | $0.00 |
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 | 55% | 515 | 443 | $10K |
| 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 | 45% | 282 | 253 | $8K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,176 | 986 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 13 | 12 | $0.00 |
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 officialCOLE, RICHARD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Patrick County Family Practice PC | Stuart, VA | $2.88M |
| Patrick County Family Practice,pc | Stuart, VA | $2.02M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.