Physician
North Main Medical, LLC
North Main Medical, LLC was paid $121K by Medicaid between Jan 2021 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoNORTH MAIN MEDICAL, LLC
CROSSVILLE, TN 38555
CROSSVILLE, TN 38555
33aNPI1679106306assigned 02/21/2020
33bProvider typeFamily Medicine Physician
28Total paid$121K
24GClaims4,588
24DCodes billed7
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#219 of 754
Median peer was paid$34K
This provider vs. median3.6×
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 | |
|---|---|---|---|
| 2021 | 1,095 | $33K | |
| 2022 | 1,459 | $39K | |
| 2023 | 1,236 | $30K | |
| 2024incomplete | 798 | $19K |
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 | 53% | 2,556 | 1,879 | $64K |
| 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 | 26% | 1,189 | 881 | $31K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 325 | 256 | $13K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 6.5% | 218 | 159 | $8K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 3.4% | 33 | 29 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | 13 | $742.98 |
| 36415 | Collection of venous blood by venipuncture | <1% | 254 | 212 | $367.40 |
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 officialEROH, TAMARA (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Acute Care Clinics of America, LLC | Jamestown, TN | $1.09M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.