Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ADVANTAGE FAMILY HEALTHCARE, PLLC

NPI: 1659403590 · KNOXVILLE, TN 37934 · Primary Care Clinic/Center · NPI assigned 03/09/2007

$377K
Total Medicaid Paid
18,441
Total Claims
15,036
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARTIN, ROBERT (CHIEF MANAGER)
NPI Enumeration Date03/09/2007

Related Entities

Other providers sharing the same authorized official: MARTIN, ROBERT

ProviderCityStateTotal Paid
NORMAN BEHAVIORAL HEALTH GROUP, LLC NORMAN OK $4.48M
SIERRA HEALTH CARE INC. TRUTH OR CONSEQUENCES NM $1.07M
SHERRILL HOUSE, INC BOSTON MA $393K
BACK AND NECK PAIN RELIEF CENTER EAST CHICAGO IN $373K
ROBERT F MARTIN JR DMD PC GREENVILLE AL $300K
SIERRA HEALTH CARE, INC. TRUTH OR CONSEQUENCES NM $251K
TOWN OF BRISTOL BRISTOL RI $206K
SIERRA HEALTH CARE INC TRUTH OR CONSEQUENCES NM $41K
CONCHO COUNTY HOSPITAL EDEN TX $8K
LOS ALAMOS RETIREMENT CENTER, INC. LOS ALAMOS NM $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 934 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,660 3,812 $175K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,074 2,447 $151K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 335 273 $9K
81002 3,040 2,495 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 94 82 $7K
81025 1,262 1,021 $7K
36415 Collection of venous blood by venipuncture 2,542 2,089 $5K
92587 101 94 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 45 43 $3K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 116 99 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 18 16 $1K
96127 282 248 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 101 86 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 45 43 $585.99
96110 Developmental screening, with scoring and documentation, per standardized instrument 14 13 $519.69
36410 33 29 $412.70
81003 165 132 $285.94
3008F 175 136 $240.00
J0696 Injection, ceftriaxone sodium, per 250 mg 89 78 $161.48
90688 15 12 $136.29
J1885 Injection, ketorolac tromethamine, per 15 mg 77 65 $76.36
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 14 $52.66
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 380 288 $0.00
G8482 Influenza immunization administered or previously received 289 255 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 91 67 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 101 91 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 186 136 $0.00
T1013 Sign language or oral interpretive services, per 15 minutes 15 14 $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 17 12 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 15 14 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 333 277 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 360 282 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 57 47 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 216 157 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 15 14 $0.00
3017F 31 25 $0.00
G8542 Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required 37 30 $0.00