Tennessee Valley Ent Clinic, P.C.
Tennessee Valley Ent Clinic, P.C. was paid $85K by Medicaid between Jan 2018 and Mar 2020, across 6 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 23% of everything it billed.
33Billing provider infoTENNESSEE VALLEY ENT CLINIC, P.C.
SHEFFIELD, AL 35660
SHEFFIELD, AL 35660
33aNPI1710053087assigned 11/28/2006
33bProvider typeSpecialist
28Total paid$85K
24GClaims4,898
24DCodes billed6
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Specialist providers in Alabama
Rank by total paid#67 of 162
Median peer was paid$49K
This provider vs. median1.7×
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 | 2,310 | $39K | |
| 2019 | 2,179 | $40K | |
| 2020 | 409 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 23% | 370 | 364 | $20K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 21% | 396 | 338 | $18K |
| 95115 | 18% | 2,338 | 887 | $15K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 578 | 498 | $12K |
| 95117 | 12% | 1,085 | 465 | $11K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 12% | 131 | 65 | $10K |
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 officialLEMASTER, KENNETH (PRESIDENT)