Physician
Athens Physicians Practice, LLC
Athens Physicians Practice, LLC was paid $667K by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoATHENS PHYSICIANS PRACTICE, LLC
ATHENS, TN 37303
ATHENS, TN 37303
33aNPI1689055774assigned 06/15/2015
33bProvider typeFamily Medicine Physician
28Total paid$667K
24GClaims84,748
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#82 of 754
Median peer was paid$34K
This provider vs. median20×
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 | 289 | $11K | |
| 2019 | 387 | $15K | |
| 2020 | 4,352 | $67K | |
| 2021 | 12,858 | $119K | |
| 2022 | 24,898 | $145K | |
| 2023 | 24,648 | $171K | |
| 2024incomplete | 17,316 | $140K |
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 | 41% | 13,977 | 9,845 | $272K |
| 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 | 35% | 10,745 | 7,455 | $235K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 9.9% | 1,043 | 815 | $66K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.5% | 1,169 | 994 | $57K |
| 73630 | 1.4% | 792 | 526 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 229 | 196 | $4K |
| 73610 | <1% | 263 | 166 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 67 | 57 | $3K |
| 73110 | <1% | 131 | 98 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,606 | 1,813 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 94 | 68 | $2K |
| 20610 | <1% | 118 | 74 | $2K |
38 more codes
| 80305 | <1% | 556 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 534 | $1K |
| 97597 | <1% | 233 | $1K | |
| 96127 | <1% | 673 | $914.77 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | $787.38 |
| 93018 | <1% | 162 | $774.07 | |
| 90686 | <1% | 145 | $631.24 | |
| 3008F | <1% | 13,060 | $481.95 | |
| 3079F | <1% | 2,196 | $466.24 | |
| 3077F | <1% | 1,942 | $428.96 | |
| 3074F | <1% | 3,864 | $393.05 | |
| 3078F | <1% | 3,473 | $388.45 | |
| 3080F | <1% | 1,292 | $375.44 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 35 | $269.62 |
| 93016 | <1% | 32 | $210.96 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 114 | $204.58 |
| 90674 | <1% | 18 | $201.03 | |
| 99307 | <1% | 47 | $166.24 | |
| 73030 | <1% | 15 | $163.95 | |
| 3075F | <1% | 1,020 | $163.30 | |
| 90756 | <1% | 38 | $143.80 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 12 | $56.24 |
| G0008 | Administration of influenza virus vaccine | <1% | 169 | $39.12 |
| 99024 | <1% | 337 | $31.17 | |
| 90656 | <1% | 16 | $25.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 53 | $23.03 |
| 90688 | <1% | 33 | $20.68 | |
| 99454 | <1% | 14 | $5.74 | |
| 1036F | <1% | 5,336 | $0.04 | |
| 1159F | <1% | 7,694 | $0.02 | |
| 1160F | <1% | 7,694 | $0.02 | |
| 3725F | 0% | 769 | $0.00 | |
| 3288F | 0% | 100 | $0.00 | |
| 1034F | 0% | 1,417 | $0.00 | |
| 1126F | 0% | 115 | $0.00 | |
| 1125F | 0% | 236 | $0.00 | |
| 1035F | 0% | 38 | $0.00 | |
| 1170F | 0% | 18 | $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 officialLAWRRENCE, CHARLOTTE (SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Ashley Valley Medical Center LLC | Vernal, UT | $4.44M |
| Raleigh General Hospital LLC | Beckley, WV | $916K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.