Metro Family Care, LLC

Metro Family Care, LLC was paid $21K by Medicaid between Sep 2020 and Jun 2023, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.

33Billing provider infoMETRO FAMILY CARE, LLC
KNOXVILLE, TN 37922

33aNPI1659716934assigned 05/01/2013

33bProvider typeClinical Social Worker

28Total paid$21K

24GClaims1,499

24DCodes billed11

24AFirst – last monthSep 2020 – Jun 2023

Compared with peers

Next to other Clinical Social Worker providers in Tennessee

Rank by total paid#72 of 153

Median peer was paid$17K

This provider vs. median1.2×

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
2020	203	$2K
2021	395	$7K
2022	742	$9K
2023	159	$3K

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	88%	1,038	657	$19K
99205	Prolong outpt/office vis	3.7%	23	12	$789.55
99492		3.0%	25	13	$639.13
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	2.1%	15	13	$452.33
36415	Collection of venous blood by venipuncture	1.7%	244	177	$367.50
99490	Ccm add 20min	<1%	22	13	$164.81
99484		<1%	31	16	$107.43
80306		<1%	22	13	$64.56
99000		0%	31	21	$0.00
96127		0%	26	13	$0.00
81003		0%	22	12	$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 officialHICKS, SUSAN (OWNER, NURSE PRACTITIONER)