Hope Medical Clinic PLLC

Hope Medical Clinic PLLC was paid $62K by Medicaid between Jan 2018 and Feb 2019, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoHOPE MEDICAL CLINIC PLLC
SEVIERVILLE, TN 37862

33aNPI1588086425assigned 01/13/2014

33bProvider typePrimary Care Clinic/Center

28Total paid$62K

24GClaims5,466

24DCodes billed16

24AFirst – last monthJan 2018 – Feb 2019

Compared with peers

Next to other Primary Care Clinic/Center providers in Tennessee

Rank by total paid#82 of 139

Median peer was paid$101K

This provider vs. median0.6×

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	4,989	$56K
2019	477	$6K

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	60%	1,216	967	$37K
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	26%	457	383	$16K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.8%	45	41	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	2.9%	150	121	$2K
90756		1.5%	73	64	$903.83
1159F		1.4%	424	357	$834.72
99406		1.2%	137	114	$767.41
3008F		1.2%	410	332	$750.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	70	62	$441.77
1160F		<1%	1,231	962	$410.12
93000		<1%	36	33	$326.12
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	48	41	$15.20

4 more codes

J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	13	$13.98
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	103	$0.00
4305F		0%	16	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	1,037	$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, COLLEEN (OWNER/NURSE PRACITITONER)