Family Clinic at the Lake PLLC

Family Clinic at the Lake PLLC was paid $276K by Medicaid between Nov 2019 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.

33Billing provider infoFAMILY CLINIC AT THE LAKE PLLC
COUNCE, TN 38326

33aNPI1578125647assigned 06/28/2019

33bProvider typeNurse Practitioner

28Total paid$276K

24GClaims12,600

24DCodes billed12

24AFirst – last monthNov 2019 – Dec 2024

Compared with peers

Next to other Nurse Practitioner providers in Tennessee

Rank by total paid#20 of 212

Median peer was paid$17K

This provider vs. median16×

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
2019	94	$0.81
2020	2,209	$45K
2021	2,211	$42K
2022	2,237	$52K
2023	3,499	$77K
2024incomplete	2,350	$58K

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	83%	8,769	6,212	$230K
99443		6.2%	465	390	$17K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	5.0%	1,550	958	$14K
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	3.6%	301	241	$10K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	42	29	$2K
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	156	129	$892.77
36415	Collection of venous blood by venipuncture	<1%	821	678	$851.32
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	<1%	70	60	$690.17
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	13	12	$126.55
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	80	70	$95.50
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	137	108	$62.15
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	196	156	$56.68

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 officialJACKSON, ELLANIKOLE (OWNER)