Sems, Allison

Sems, Allison was paid $71K by Medicaid between Mar 2020 and May 2023, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.

33Billing provider infoSEMS, ALLISON
CLIFTON, TN 38425

33aNPI1669792172assigned 06/07/2010

33bProvider typeMedical Physician Assistant

28Total paid$71K

24GClaims2,387

24DCodes billed11

24AFirst – last monthMar 2020 – May 2023

Compared with peers

Next to other Medical Physician Assistant providers in Tennessee

Rank by total paid#16 of 62

Median peer was paid$13K

This provider vs. median5.3×

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	603	$10K
2021	409	$19K
2022	1,054	$31K
2023	321	$11K

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	71%	1,026	685	$50K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	19%	492	368	$13K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	3.2%	298	252	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	2.4%	250	153	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.1%	52	36	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.1%	49	25	$808.14
99201		<1%	42	25	$555.41
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	114	99	$350.94
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	17	14	$139.84
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	16	14	$9.75
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	31	26	$4.94

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.