Physician
Innovative Family Care, PLLC
Innovative Family Care, PLLC was paid $371K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoINNOVATIVE FAMILY CARE, PLLC
COOKEVILLE, TN 38506
COOKEVILLE, TN 38506
33aNPI1720345408assigned 04/18/2012
33bProvider typeFamily Medicine Physician
28Total paid$371K
24GClaims18,735
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#125 of 754
Median peer was paid$34K
This provider vs. median11×
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 | 2,750 | $74K | |
| 2019 | 2,417 | $73K | |
| 2020 | 2,362 | $52K | |
| 2021 | 2,432 | $52K | |
| 2022 | 2,867 | $47K | |
| 2023 | 3,504 | $35K | |
| 2024incomplete | 2,403 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 56% | 7,435 | 5,605 | $210K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 4,294 | 3,436 | $99K |
| 99490 | Ccm add 20min | 4.4% | 1,786 | 1,574 | $16K |
| 99491 | Ccm add 20min | 4.3% | 1,037 | 982 | $16K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.4% | 428 | 336 | $12K |
| 99487 | Ccm add 20min | 1.7% | 449 | 413 | $6K |
| 99439 | <1% | 364 | 278 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 33 | 26 | $2K |
| 99497 | <1% | 63 | 55 | $2K | |
| 90686 | <1% | 85 | 78 | $887.73 | |
| 90674 | <1% | 70 | 65 | $740.14 | |
| G0008 | Administration of influenza virus vaccine | <1% | 155 | 148 | $728.11 |
16 more codes
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 82 | $388.23 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 19 | $304.60 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 18 | $250.27 |
| 99489 | Ccm add 20min | <1% | 13 | $226.83 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 20 | $196.65 |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | <1% | 31 | $189.84 |
| 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% | 14 | $189.23 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 16 | $105.96 |
| 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% | 43 | $98.81 |
| 81002 | <1% | 46 | $49.47 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 33 | $28.83 |
| 36415 | Collection of venous blood by venipuncture | <1% | 18 | $12.77 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,012 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 14 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,123 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 34 | $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 officialPLUNKETT, LIBBY (PRACTICE MANAGER)