Physician
Pikeville Clinic, LLC
Pikeville Clinic, LLC was paid $632K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.
33Billing provider infoPIKEVILLE CLINIC, LLC
PIKEVILLE, TN 37367
PIKEVILLE, TN 37367
33aNPI1639472137assigned 12/06/2010
33bProvider typeFamily Medicine Physician
28Total paid$632K
24GClaims38,172
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#86 of 754
Median peer was paid$34K
This provider vs. median19×
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 | 10,816 | $126K | |
| 2019 | 8,940 | $139K | |
| 2020 | 4,615 | $97K | |
| 2021 | 4,384 | $85K | |
| 2022 | 4,105 | $76K | |
| 2023 | 3,125 | $63K | |
| 2024incomplete | 2,187 | $46K |
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 | 79% | 17,452 | 13,500 | $501K |
| 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 | 11% | 1,483 | 1,177 | $67K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 4.2% | 2,887 | 1,966 | $27K |
| 80305 | 3.3% | 3,350 | 2,700 | $21K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,587 | 2,075 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 44 | 39 | $3K |
| 90674 | <1% | 165 | 122 | $3K | |
| 3008F | <1% | 3,144 | 2,583 | $1K | |
| 3074F | <1% | 2,200 | 1,864 | $930.02 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 136 | 105 | $920.72 |
| 3078F | <1% | 1,452 | 1,287 | $820.02 | |
| 3079F | <1% | 1,468 | 1,258 | $812.27 |
12 more codes
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 48 | $736.33 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 625 | $599.34 |
| 90656 | <1% | 32 | $435.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 17 | $299.51 |
| 3075F | <1% | 529 | $283.99 | |
| 81003 | <1% | 224 | $236.27 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 16 | $129.79 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 19 | $126.89 |
| 3077F | <1% | 84 | $82.26 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 20 | $26.13 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 35 | $11.76 |
| 99000 | 0% | 155 | $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 officialBOYNTON, RUTH (MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Pikeville Urgent Care, PLLC | Pikeville, TN | $351K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.