Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Bulls Gap › NPI 1598256117
Physician

Emmaus Medical and Counseling, PLLC

Emmaus Medical and Counseling, PLLC was paid $8.36M by Medicaid between Dec 2018 and Dec 2024, across 13 billing codes. Its largest line is H0016, Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) — 56% of everything it billed.

33Billing provider infoEMMAUS MEDICAL AND COUNSELING, PLLC
BULLS GAP, TN 37711
33aNPI1598256117assigned 05/21/2018
28Total paid$8.36M
24GClaims77,426
24DCodes billed13
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers

Next to other Addiction Medicine (Internal Medicine) Physician providers in Tennessee

Rank by total paid#1 of 10
Median peer was paid$385K
This provider vs. median22×

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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
201829$1K
20199,757$911K
202010,862$1.23M
202117,373$1.74M
202214,321$1.77M
202312,041$1.46M
2024incomplete13,043$1.24M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) 56% 25,077 14,660 $4.69M
H0033 Oral medication administration, direct observation 28% 17,225 9,038 $2.38M
H2010 Comprehensive medication services, per 15 minutes 7.1% 9,389 3,113 $594K
H0014 Alcohol and/or drug services; ambulatory detoxification 4.1% 1,479 848 $339K
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 2.5% 13,733 6,638 $211K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 1.3% 5,072 4,143 $107K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 1,191 969 $14K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 1,663 977 $9K
80305 <1% 2,164 712 $7K
90853 Group psychotherapy (other than of a multiple-family group) <1% 366 266 $3K
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% 37 35 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 18 14 $117.74
1 more codes
81025 <1% 12 $26.55

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 officialHENEGAR, JUDY (OFFICE MANAGER)
Same official

Other billing entities under HENEGAR, JUDY

Full network →
ProviderLocationPaid
Applachian Recovery Care, PLLCBristol, TN$2.36M
Achieve Wellness CenterHermitage, TN$727K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.