NP / PA
NPI deactivated
SHC Medical Partners of Tennessee, LLC
SHC Medical Partners of Tennessee, LLC was paid $859K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 67% of everything it billed.
33Billing provider infoSHC MEDICAL PARTNERS OF TENNESSEE, LLC
MOUNTAIN CITY, TN 37683
MOUNTAIN CITY, TN 37683
33aNPI1609051895assigned 01/07/2008
33bProvider typeNurse Practitioner
28Total paid$859K
24GClaims102,460
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Tennessee
Rank by total paid#11 of 212
Median peer was paid$17K
This provider vs. median51×
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 | 10,192 | $83K | |
| 2019 | 12,630 | $112K | |
| 2020 | 15,920 | $113K | |
| 2021 | 23,177 | $207K | |
| 2022 | 19,577 | $165K | |
| 2023 | 11,424 | $89K | |
| 2024incomplete | 9,540 | $91K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 67% | 57,558 | 35,171 | $574K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 22% | 28,635 | 18,891 | $189K |
| 99497 | 4.1% | 4,372 | 3,661 | $36K | |
| 99484 | 3.4% | 5,483 | 5,115 | $29K | |
| 99490 | Ccm add 20min | 1.1% | 2,211 | 1,943 | $10K |
| 99310 | Prolong nursin fac eval 15m | <1% | 470 | 344 | $8K |
| 99358 | Prolong nursin fac eval 15m | <1% | 664 | 552 | $6K |
| 99349 | <1% | 478 | 294 | $4K | |
| 99307 | <1% | 208 | 187 | $971.02 | |
| G0425 | Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth | <1% | 91 | 90 | $630.58 |
| G0406 | Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth | <1% | 210 | 177 | $477.29 |
| 99318 | <1% | 23 | 12 | $301.44 |
16 more codes
| 99315 | <1% | 45 | $257.81 | |
| 99316 | <1% | 19 | $148.44 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 69 | $73.10 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 19 | $49.27 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 505 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 155 | $0.00 |
| 3078F | 0% | 50 | $0.00 | |
| 1159F | 0% | 148 | $0.00 | |
| 1160F | 0% | 267 | $0.00 | |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | 0% | 29 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 560 | $0.00 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 31 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 55 | $0.00 |
| 1126F | 0% | 69 | $0.00 | |
| 3074F | 0% | 20 | $0.00 | |
| 3044F | 0% | 16 | $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 officialLOGAN, PENNY (CHIEF OPERATING OFFICER)
Parent organizationSHC MEDICAL PARTNERS, LLC
| Provider | Location | Paid |
|---|---|---|
| SHC Medical Partners of Kentucky, LLC | Louisville, KY | $776K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.