Clinic
The Grove Primary Care Clinic LLC
The Grove Primary Care Clinic LLC was paid $650K by Medicaid between Jan 2018 and Oct 2019, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoTHE GROVE PRIMARY CARE CLINIC LLC
HENDERSON, TN 38340
HENDERSON, TN 38340
33aNPI1639345952assigned 05/06/2008
33bProvider typeRural Health Clinic/Center
28Total paid$650K
24GClaims24,358
24DCodes billed42
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other Rural Health Clinic/Center providers in Tennessee
Rank by total paid#22 of 96
Median peer was paid$127K
This provider vs. median5.1×
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 | 14,013 | $361K | |
| 2019 | 10,345 | $289K |
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 | 29% | 5,257 | 4,370 | $191K |
| 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 | 24% | 3,201 | 2,646 | $159K |
| 99348 | 11% | 2,120 | 1,835 | $71K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.9% | 1,263 | 907 | $45K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 6.1% | 675 | 410 | $40K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.9% | 1,352 | 982 | $32K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.9% | 635 | 569 | $32K |
| 99349 | 1.9% | 251 | 220 | $12K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 1,117 | 955 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 579 | 450 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 364 | 323 | $8K |
| 99347 | <1% | 216 | 173 | $6K |
30 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 459 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 194 | $4K |
| 96127 | <1% | 1,441 | $4K | |
| 80305 | <1% | 617 | $3K | |
| 99343 | <1% | 39 | $3K | |
| 1159F | <1% | 1,147 | $3K | |
| 3008F | <1% | 820 | $2K | |
| 3074F | <1% | 701 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 46 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 41 | $1K |
| 99384 | <1% | 16 | $1K | |
| 3078F | <1% | 374 | $880.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 53 | $765.30 |
| 90686 | <1% | 268 | $666.80 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 271 | $535.66 |
| D0190 | <1% | 62 | $528.00 | |
| 90651 | <1% | 67 | $519.78 | |
| 99173 | <1% | 68 | $429.54 | |
| 3079F | <1% | 99 | $280.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 14 | $275.00 |
| D1206 | Topical application of fluoride varnish | <1% | 16 | $253.50 |
| 87807 | <1% | 20 | $243.05 | |
| 81002 | <1% | 102 | $223.14 | |
| 3077F | <1% | 45 | $210.00 | |
| 81003 | <1% | 140 | $196.42 | |
| 3080F | <1% | 39 | $160.00 | |
| 90734 | <1% | 15 | $147.47 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 16 | $120.20 |
| 96160 | <1% | 125 | $46.24 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | $22.60 |
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 officialWYSOR, JODY (OWNER)