NP / PA
Crescent Health Gatlinburg
Crescent Health Gatlinburg was paid $8K by Medicaid between Jan 2018 and Jul 2018, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.
33Billing provider infoCRESCENT HEALTH GATLINBURG
PIGEON FORGE, TN 37863
PIGEON FORGE, TN 37863
33aNPI1649440348assigned 03/10/2008
33bProvider typeMedical Physician Assistant
28Total paid$8K
24GClaims7,109
24DCodes billed16
24AFirst – last monthJan 2018 – Jul 2018
Compared with peers
Next to other Medical Physician Assistant providers in Tennessee
Rank by total paid#39 of 62
Median peer was paid$13K
This provider vs. median0.6×
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 | 7,109 | $8K |
Box 24 · Service lines
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 | 65% | 2,008 | 880 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 475 | 265 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 7.5% | 813 | 255 | $570.23 |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed | 4.9% | 638 | 337 | $378.04 |
| 99490 | Ccm add 20min | 2.5% | 253 | 141 | $188.99 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 2.1% | 675 | 367 | $158.76 |
| 99358 | Prolong nursin fac eval 15m | 1.4% | 48 | 12 | $109.60 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 754 | 220 | $66.64 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 608 | 165 | $65.95 |
| 80053 | Comprehensive metabolic panel | <1% | 48 | 29 | $20.48 |
| 36415 | Collection of venous blood by venipuncture | <1% | 87 | 52 | $2.55 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 45 | 27 | $2.18 |
4 more codes
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 573 | $1.26 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 32 | $0.00 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 0% | 23 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 29 | $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 officialDAVIS, RHONDA (GENERAL MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Meds and Meal (M&M) Community Living Services | Rockwall, TX | $2.19M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.