Clinic
Advantage Family Healthcare, PLLC
Advantage Family Healthcare, PLLC was paid $377K by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoADVANTAGE FAMILY HEALTHCARE, PLLC
KNOXVILLE, TN 37934
KNOXVILLE, TN 37934
33aNPI1659403590assigned 03/09/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$377K
24GClaims18,441
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Tennessee
Rank by total paid#33 of 139
Median peer was paid$101K
This provider vs. median3.7×
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 | 2,474 | $50K | |
| 2019 | 2,623 | $54K | |
| 2020 | 2,591 | $57K | |
| 2021 | 3,613 | $61K | |
| 2022 | 4,318 | $74K | |
| 2023 | 1,888 | $50K | |
| 2024incomplete | 934 | $30K |
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 | 46% | 4,660 | 3,812 | $175K |
| 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 | 40% | 3,074 | 2,447 | $151K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.3% | 335 | 273 | $9K |
| 81002 | 2.0% | 3,040 | 2,495 | $8K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 94 | 82 | $7K |
| 81025 | 1.8% | 1,262 | 1,021 | $7K | |
| 36415 | Collection of venous blood by venipuncture | 1.3% | 2,542 | 2,089 | $5K |
| 92587 | 1.2% | 101 | 94 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 45 | 43 | $3K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 116 | 99 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 18 | 16 | $1K |
| 96127 | <1% | 282 | 248 | $1K |
25 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 101 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 45 | $585.99 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 14 | $519.69 |
| 36410 | <1% | 33 | $412.70 | |
| 81003 | <1% | 165 | $285.94 | |
| 3008F | <1% | 175 | $240.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 89 | $161.48 |
| 90688 | <1% | 15 | $136.29 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 77 | $76.36 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | $52.66 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 380 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 289 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 91 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 101 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 186 | $0.00 |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 15 | $0.00 |
| G8942 | Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 17 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 15 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 333 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 360 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 57 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 216 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 15 | $0.00 |
| 3017F | 0% | 31 | $0.00 | |
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | 0% | 37 | $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 officialMARTIN, ROBERT (CHIEF MANAGER)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.