Express Med of Tennessee, LLC

Express Med of Tennessee, LLC was paid $2.56M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoEXPRESS MED OF TENNESSEE, LLC
LAWRENCEBURG, TN 38464

33aNPI1679534879assigned 03/29/2006

33bProvider typeNurse Practitioner

28Total paid$2.56M

24GClaims175,254

24DCodes billed56

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Nurse Practitioner providers in Tennessee

Rank by total paid#5 of 212

Median peer was paid$17K

This provider vs. median152×

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	26,784	$211K
2019	28,927	$268K
2020	12,175	$209K
2021	25,759	$454K
2022	28,981	$527K
2023	30,602	$516K
2024incomplete	22,026	$379K

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	43%	40,033	32,425	$1.11M
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	32%	27,534	21,085	$824K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	6.5%	14,471	10,714	$167K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	3.4%	10,801	4,691	$86K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	3.0%	2,848	2,451	$78K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	2.6%	566	504	$66K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.7%	5,247	4,649	$44K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	488	426	$25K
87428		<1%	374	319	$20K
95117		<1%	3,410	2,259	$18K
81002		<1%	10,802	8,498	$14K
93000		<1%	1,449	1,082	$10K

44 more codes

90837	Psychotherapy session, about an hour	<1%	192	$9K
96127		<1%	2,998	$8K
1160F		<1%	11,198	$8K
1159F		<1%	11,215	$8K
97802		<1%	2,305	$7K
3008F		<1%	10,187	$7K
99402		<1%	2,430	$6K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	633	$6K
92551		<1%	1,818	$5K
76700	Ultrasound, abdominal, real time with image documentation; complete	<1%	115	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	527	$5K
71046	Radiologic examination, chest; 2 views	<1%	471	$4K
99173		<1%	2,070	$4K
99204	Doctor's office visit, new patient (more involved)	<1%	67	$3K
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	2,032	$3K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	233	$2K
82962		<1%	2,246	$2K
90791	Psychiatric diagnostic evaluation	<1%	23	$1K
76536		<1%	45	$1K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	14	$1K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	3,248	$1K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	16	$833.28
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	<1%	108	$725.04
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	559	$708.28
99406		<1%	144	$448.31
90756		<1%	45	$387.52
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	29	$219.80
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	17	$207.36
99490	Ccm add 20min	<1%	53	$181.49
90688		<1%	26	$119.53
36416		<1%	179	$113.90
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month	<1%	12	$101.94
94760		<1%	106	$101.33
99408		<1%	49	$73.34
81025		<1%	12	$46.21
90686		<1%	32	$22.80
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	29	$20.61
J0945	Injection, brompheniramine maleate, per 10 mg	<1%	20	$19.78
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	12	$0.51
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	796	$0.00
99072		0%	365	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	161	$0.00
99080		0%	381	$0.00
3078F		0%	13	$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 officialSTONE, MELANIE (OWNER)