Clinic
Rural Health Services Consortium of Upper East Tennessee INC
Rural Health Services Consortium of Upper East Tennessee INC was paid $8.37M by Medicaid between Jan 2018 and Dec 2024, across 102 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoRURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
ROGERSVILLE, TN 37857
ROGERSVILLE, TN 37857
33aNPI1679672562assigned 09/21/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.37M
24GClaims1,147,733
24DCodes billed102
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Tennessee
Rank by total paid#4 of 90
Median peer was paid$87K
This provider vs. median97×
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 | 163,212 | $1.07M | |
| 2019 | 215,718 | $1.28M | |
| 2020 | 173,494 | $1.02M | |
| 2021 | 153,305 | $1.29M | |
| 2022 | 159,726 | $1.32M | |
| 2023 | 162,506 | $1.32M | |
| 2024incomplete | 119,772 | $1.07M |
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 | 44% | 107,511 | 89,571 | $3.66M |
| 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 | 29% | 56,859 | 48,473 | $2.40M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.6% | 7,196 | 4,812 | $217K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.3% | 23,880 | 7,856 | $195K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.2% | 4,999 | 4,493 | $180K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 2,591 | 2,125 | $170K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 2,536 | 2,155 | $168K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.8% | 13,572 | 6,557 | $148K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 1,861 | 1,424 | $126K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 19,064 | 15,682 | $118K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 1,523 | 1,234 | $89K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 7,189 | 6,585 | $73K |
90 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,294 | $69K |
| 3008F | <1% | 190,907 | $54K | |
| 1159F | <1% | 75,568 | $51K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 8,753 | $44K |
| 3074F | <1% | 127,935 | $42K | |
| 1160F | <1% | 58,165 | $41K | |
| 3078F | <1% | 117,451 | $40K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,792 | $38K |
| 1126F | <1% | 63,086 | $37K | |
| 92551 | <1% | 5,042 | $34K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 602 | $33K |
| 36415 | Collection of venous blood by venipuncture | <1% | 27,389 | $32K |
| 99384 | <1% | 285 | $27K | |
| 1125F | <1% | 44,224 | $26K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,028 | $23K |
| 3079F | <1% | 45,277 | $23K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 880 | $22K |
| 1158F | <1% | 23,494 | $21K | |
| 90686 | <1% | 3,706 | $20K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 673 | $16K |
| 99174 | <1% | 2,170 | $15K | |
| 99173 | <1% | 1,883 | $12K | |
| 87807 | <1% | 962 | $10K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 206 | $9K |
| 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% | 12,509 | $9K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,465 | $8K |
| 3075F | <1% | 17,479 | $8K | |
| 81002 | <1% | 3,343 | $7K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 442 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 931 | $6K |
| 3077F | <1% | 9,915 | $5K | |
| 1157F | <1% | 6,565 | $4K | |
| 1170F | <1% | 4,652 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 40 | $2K |
| D0330 | Panoramic radiographic image | <1% | 66 | $2K |
| D0120 | Dental checkup, returning patient | <1% | 83 | $2K |
| 3080F | <1% | 2,436 | $2K | |
| 85018 | <1% | 644 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 16 | $2K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 290 | $1K |
| 99383 | <1% | 15 | $1K | |
| 36416 | <1% | 1,088 | $1K | |
| 86580 | <1% | 263 | $986.90 | |
| 90697 | <1% | 229 | $850.00 | |
| 96160 | <1% | 460 | $759.50 | |
| 99381 | <1% | 17 | $577.30 | |
| 83655 | <1% | 66 | $555.87 | |
| 3044F | <1% | 6,464 | $520.00 | |
| 90461 | <1% | 3,225 | $505.01 | |
| 85014 | <1% | 214 | $479.10 | |
| D1206 | Topical application of fluoride varnish | <1% | 16 | $360.80 |
| 90677 | <1% | 285 | $316.00 | |
| 81025 | <1% | 60 | $297.90 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 55 | $225.70 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 254 | $202.88 |
| 1111F | <1% | 148 | $200.00 | |
| 0064A | <1% | 14 | $160.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 129 | $152.99 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 14 | $149.55 |
| 90656 | <1% | 12 | $118.23 | |
| 90662 | <1% | 30 | $74.00 | |
| 99490 | Ccm add 20min | <1% | 12 | $70.72 |
| 86403 | <1% | 47 | $59.37 | |
| 3061F | <1% | 326 | $50.00 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 13 | $45.45 |
| G0008 | Administration of influenza virus vaccine | <1% | 674 | $42.00 |
| 90672 | <1% | 18 | $28.29 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 24 | $9.28 |
| 1034F | <1% | 1,064 | $8.32 | |
| 3048F | <1% | 10,040 | $0.02 | |
| 91301 | 0% | 56 | $0.00 | |
| 90723 | 0% | 162 | $0.00 | |
| 1000F | 0% | 209 | $0.00 | |
| 3049F | 0% | 751 | $0.00 | |
| 4000F | 0% | 101 | $0.00 | |
| 90651 | 0% | 214 | $0.00 | |
| 0011A | 0% | 14 | $0.00 | |
| 0012A | 0% | 18 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 17 | $0.00 |
| 90670 | 0% | 797 | $0.00 | |
| 90734 | 0% | 135 | $0.00 | |
| 99408 | 0% | 1,890 | $0.00 | |
| 3050F | 0% | 185 | $0.00 | |
| 90648 | 0% | 329 | $0.00 | |
| 99499 | 0% | 39 | $0.00 | |
| 90633 | 0% | 43 | $0.00 | |
| 90681 | 0% | 13 | $0.00 | |
| 90685 | 0% | 18 | $0.00 | |
| 90715 | 0% | 22 | $0.00 | |
| 3045F | 0% | 15 | $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 officialBUCK, LINDA (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Rural Health Services Consortium of Upper East Tennessee INC | Rogersville, TN | $292K |
| Rural Health Services Consortium of Upper East Tennessee INC | Rogersville, TN | $67K |
| Rural Health Services Consortium of Upper East Tennessee INC | Sneedville, TN | $22K |
| Rural Health Services Consortium of Upper East Tennessee INC | Kingsport, TN | $17K |
| Rural Health Services Consortium of Upper East Tennessee INC | Bulls Gap, TN | $12K |
| Rural Health Services Consortium of Upper East Tennessee INC | Roan Mountain, TN | $8K |
| Rural Health Services Consortium of Upper East Tennessee INC | Greeneville, TN | $6K |
| Rural Health Services Consortium of Upper East Tennessee INC | Erwin, TN | $3K |
| Rural Health Services Consortium of Upper East Tennessee INC | Mountain City, TN | $2K |
| Rural Health Services Consortium of Upper East Tennessee INC | Limestone, TN | $739.59 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.