Highlands Healthcare, PLLC

Highlands Healthcare, PLLC was paid $378K by Medicaid between Jan 2018 and Nov 2020, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.

33Billing provider infoHIGHLANDS HEALTHCARE, PLLC
COOKEVILLE, TN 38501

33aNPI1659795193assigned 02/04/2014

33bProvider typeFamily Medicine Physician

28Total paid$378K

24GClaims21,274

24DCodes billed25

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#123 of 754

Median peer was paid$34K

This provider vs. median11×

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	6,634	$121K
2019	7,816	$126K
2020	6,824	$131K

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	72%	8,667	5,688	$272K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	8.0%	3,548	1,374	$30K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.8%	358	303	$18K
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	4.0%	302	238	$15K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.8%	497	413	$11K
80305		2.3%	1,588	1,344	$9K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	207	163	$4K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	100	78	$3K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	1,082	608	$3K
3008F		<1%	212	162	$2K
90674		<1%	120	88	$2K
36415	Collection of venous blood by venipuncture	<1%	1,521	1,252	$2K

13 more codes

99406		<1%	228	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	77	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	146	$1K
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	790	$1K
81003		<1%	919	$805.72
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	451	$717.33
80306		<1%	57	$626.82
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	60	$342.66
90688		<1%	25	$318.05
83036	Hemoglobin; glycosylated (A1C)	<1%	98	$191.95
82044		<1%	87	$137.47
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	116	$49.31
96127		<1%	18	$41.42

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 officialLOGAN, KIMBER (OWNER)