Clinic
Evans Medical Clinic, PLLC
Evans Medical Clinic, PLLC was paid $3.87M by Medicaid between Jan 2018 and Dec 2024, across 73 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoEVANS MEDICAL CLINIC, PLLC
HUNTINGDON, TN 38344
HUNTINGDON, TN 38344
33aNPI1598083982assigned 05/10/2010
33bProvider typePrimary Care Clinic/Center
28Total paid$3.87M
24GClaims163,327
24DCodes billed73
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Tennessee
Rank by total paid#7 of 139
Median peer was paid$101K
This provider vs. median38×
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 | 20,498 | $500K | |
| 2019 | 23,969 | $515K | |
| 2020 | 18,844 | $423K | |
| 2021 | 25,400 | $607K | |
| 2022 | 28,316 | $667K | |
| 2023 | 26,088 | $653K | |
| 2024incomplete | 20,212 | $505K |
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 | 43% | 46,681 | 39,261 | $1.68M |
| 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 | 23% | 19,431 | 16,592 | $889K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.7% | 5,194 | 4,150 | $222K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.8% | 6,429 | 5,337 | $148K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.8% | 10,099 | 4,438 | $109K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.7% | 10,964 | 9,765 | $104K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.6% | 2,981 | 2,660 | $99K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 1,264 | 1,032 | $71K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 10,617 | 9,279 | $53K |
| 99349 | 1.3% | 870 | 816 | $52K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 2,045 | 1,814 | $50K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.2% | 4,181 | 2,668 | $46K |
61 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 752 | $45K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 1.0% | 198 | $40K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 574 | $36K |
| 95117 | <1% | 2,590 | $26K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,642 | $23K |
| 99335 | <1% | 699 | $21K | |
| 95115 | <1% | 2,109 | $21K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 95 | $20K |
| 87807 | <1% | 1,936 | $18K | |
| 92587 | <1% | 844 | $17K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 216 | $14K |
| 36415 | Collection of venous blood by venipuncture | <1% | 11,606 | $14K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 496 | $6K |
| 74018 | <1% | 536 | $5K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 133 | $5K |
| 99490 | Ccm add 20min | <1% | 1,333 | $4K |
| 96127 | <1% | 907 | $4K | |
| 81003 | <1% | 2,568 | $3K | |
| 90686 | <1% | 991 | $3K | |
| 99348 | <1% | 64 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 47 | $3K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 359 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 287 | $3K |
| 99384 | <1% | 14 | $1K | |
| 90670 | <1% | 865 | $1K | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 130 | $1K |
| 3008F | <1% | 2,311 | $1K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 41 | $1K |
| 90461 | <1% | 2,687 | $1K | |
| 70220 | <1% | 66 | $978.58 | |
| 99381 | <1% | 16 | $967.26 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 105 | $800.22 |
| 90677 | <1% | 83 | $596.08 | |
| 90651 | <1% | 40 | $550.00 | |
| 92558 | <1% | 120 | $516.76 | |
| 96161 | <1% | 695 | $509.87 | |
| 80053 | Comprehensive metabolic panel | <1% | 786 | $438.22 |
| 90680 | <1% | 358 | $426.41 | |
| 99173 | <1% | 89 | $368.25 | |
| 90698 | <1% | 463 | $259.54 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 662 | $201.42 |
| 73560 | <1% | 15 | $86.49 | |
| 82247 | <1% | 24 | $83.88 | |
| 82248 | <1% | 24 | $83.88 | |
| 86308 | <1% | 18 | $63.96 | |
| 90682 | <1% | 21 | $58.99 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 33 | $44.89 |
| G0008 | Administration of influenza virus vaccine | <1% | 215 | $37.69 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 71 | $32.85 |
| 90744 | <1% | 149 | $31.45 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 12 | $22.74 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 16 | $10.98 |
| 96160 | <1% | 149 | $8.29 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 15 | $5.90 |
| 90662 | 0% | 72 | $0.00 | |
| 90710 | 0% | 30 | $0.00 | |
| 90734 | 0% | 17 | $0.00 | |
| 90633 | 0% | 30 | $0.00 | |
| 90715 | 0% | 30 | $0.00 | |
| 99499 | 0% | 18 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 99 | $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 officialEVANS, THOMAS (OWNER)