Physician
Teal Group, PLLC
Teal Group, PLLC was paid $862K by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoTEAL GROUP, PLLC
PIKEVILLE, KY 41501
PIKEVILLE, KY 41501
33aNPI1568720142assigned 05/02/2012
33bProvider typeFamily Medicine Physician
28Total paid$862K
24GClaims32,432
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#74 of 352
Median peer was paid$90K
This provider vs. median9.6×
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 | 3,649 | $124K | |
| 2019 | 3,634 | $125K | |
| 2020 | 3,803 | $92K | |
| 2021 | 5,226 | $98K | |
| 2022 | 5,542 | $141K | |
| 2023 | 6,184 | $157K | |
| 2024incomplete | 4,394 | $124K |
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 | 57% | 18,444 | 15,451 | $491K |
| 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 | 27% | 5,872 | 5,073 | $236K |
| 99442 | 4.8% | 1,896 | 1,679 | $42K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.8% | 386 | 367 | $33K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.0% | 1,443 | 1,123 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 446 | 388 | $10K |
| T2023 | Targeted case management; per month | <1% | 16 | 16 | $6K |
| 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 | <1% | 64 | 58 | $5K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 59 | 56 | $4K |
| 99490 | Ccm add 20min | <1% | 821 | 701 | $4K |
| 96127 | <1% | 801 | 761 | $3K | |
| 99497 | <1% | 67 | 65 | $2K |
21 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 169 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 119 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 29 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 86 | $1K |
| 99441 | <1% | 35 | $586.93 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 15 | $439.36 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 73 | $384.44 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 362 | $368.35 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 25 | $280.13 |
| 73630 | <1% | 15 | $272.91 | |
| 90756 | <1% | 13 | $207.47 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 21 | $190.28 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 66 | $16.41 |
| 1170F | <1% | 285 | $0.07 | |
| 3008F | <1% | 133 | $0.06 | |
| 1125F | <1% | 186 | $0.05 | |
| 3074F | 0% | 41 | $0.00 | |
| 1159F | 0% | 201 | $0.00 | |
| 1160F | 0% | 183 | $0.00 | |
| 3077F | 0% | 16 | $0.00 | |
| 3078F | 0% | 44 | $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 officialFORD, SUZANNE (PARTNER/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Teal Group PLLC | Pikeville, KY | $2.27M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.