Jamestown Internal Medicine P.C.
Jamestown Internal Medicine P.C. was paid $350K by Medicaid between Jan 2018 and Nov 2018, across 43 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
JAMESTOWN, TN 38556
Next to other Internal Medicine Physician providers in Tennessee
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 23,255 | $350K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 53% | 7,638 | 6,373 | $187K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 6,755 | 5,779 | $119K |
| J3300 | Injection, triamcinolone acetonide, preservative free, 1 mg | 2.2% | 108 | 98 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.7% | 882 | 764 | $6K |
| 80305 | 1.2% | 1,462 | 1,382 | $4K | |
| 71046 | Radiologic examination, chest; 2 views | 1.0% | 783 | 705 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,683 | 1,473 | $3K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 111 | 100 | $3K |
| 90674 | <1% | 273 | 260 | $3K | |
| 64493 | <1% | 36 | 28 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 233 | 216 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 244 | 118 | $1K |
31 more codes
| 20610 | <1% | 102 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 106 | $995.58 |
| 43248 | <1% | 13 | $753.05 | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 14 | $706.66 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,248 | $615.05 |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 26 | $595.19 |
| 64495 | <1% | 33 | $561.33 | |
| 64494 | <1% | 36 | $559.76 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $556.01 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 48 | $542.09 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 76 | $512.59 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $271.11 |
| 81002 | <1% | 356 | $202.27 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 79 | $161.10 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 14 | $160.23 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 125 | $146.62 |
| 99223 | Prolong inpt eval add15 m | <1% | 14 | $134.37 |
| 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% | 76 | $131.20 |
| 85610 | <1% | 121 | $116.32 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 16 | $114.18 |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 35 | $112.10 |
| 73630 | <1% | 12 | $96.78 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 28 | $68.89 |
| 70210 | <1% | 17 | $68.17 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 13 | $67.37 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 20 | $22.68 |
| 73562 | <1% | 13 | $21.19 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 50 | $5.75 |
| G0008 | Administration of influenza virus vaccine | <1% | 236 | $3.13 |
| 96160 | 0% | 13 | $0.00 | |
| 90653 | 0% | 80 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Community Hospital Group INC | Edison, NJ | $71.47M |
| Community Hospital Group INC | Edison, NJ | $5.80M |
| JFK Medical Associates PA | Neptune, NJ | $4.44M |
| Modern Dental Professionals-Smith PA | Pine Bluff, AR | $2.27M |
| Community Hospital Group INC | Edison, NJ | $928K |
| Community Hospital Group, INC | Edison, NJ | $627K |
| Community Hospital Group INC | Edison, NJ | $399K |
| Community Hospital Group INC | Edison, NJ | $99K |
| North Bay Family Medical Clinic, PA | Biloxi, MS | $76K |
| Pathology Associates of Sturdy Memorial Hospital INC | Attleboro, MA | $55K |
| Richard Colville Smith, M.D., INC. | Vista, CA | $46K |
| North Attleborough Public Schools | North Attleboro, MA | $30K |
| Community Hospital Group INC | Edison, NJ | $393.92 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.