Physician
Community Health of East Tennessee, INC
Community Health of East Tennessee, INC was paid $1.82M by Medicaid between Jan 2018 and Dec 2024, across 90 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH OF EAST TENNESSEE, INC
LA FOLLETTE, TN 37766
LA FOLLETTE, TN 37766
33aNPI1750382164assigned 08/09/2005
33bProvider typeFamily Medicine Physician
28Total paid$1.82M
24GClaims91,445
24DCodes billed90
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#33 of 754
Median peer was paid$34K
This provider vs. median54×
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 | 16,452 | $304K | |
| 2019 | 15,113 | $347K | |
| 2020 | 10,879 | $220K | |
| 2021 | 10,363 | $212K | |
| 2022 | 10,093 | $207K | |
| 2023 | 11,965 | $280K | |
| 2024incomplete | 16,580 | $253K |
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 | 36% | 22,576 | 19,406 | $654K |
| 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 | 22% | 8,654 | 7,553 | $402K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 10% | 3,168 | 1,821 | $191K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 7.8% | 3,975 | 1,872 | $141K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 5.1% | 7,461 | 6,693 | $93K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.6% | 1,257 | 1,031 | $48K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.0% | 641 | 547 | $36K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 1,705 | 1,504 | $32K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 1,509 | 1,005 | $32K |
| 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 | 1.7% | 438 | 399 | $31K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 410 | 346 | $27K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 571 | 465 | $12K |
78 more codes
| 90836 | <1% | 343 | $11K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 270 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 152 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 191 | $11K |
| 82948 | <1% | 5,130 | $8K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,074 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 85 | $7K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,256 | $6K |
| 90686 | <1% | 949 | $6K | |
| 92551 | <1% | 695 | $5K | |
| 36416 | <1% | 4,794 | $4K | |
| 90838 | <1% | 85 | $3K | |
| G0008 | Administration of influenza virus vaccine | <1% | 707 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 283 | $2K |
| 99173 | <1% | 579 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 72 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 36 | $2K |
| 69210 | <1% | 58 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 194 | $2K |
| 96127 | <1% | 412 | $2K | |
| 0012A | <1% | 34 | $1K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 57 | $1K |
| 81003 | <1% | 1,283 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 17 | $927.26 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 34 | $875.02 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $785.29 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 29 | $735.02 |
| 99177 | <1% | 115 | $633.58 | |
| 90656 | <1% | 61 | $626.12 | |
| 80061 | Lipid panel | <1% | 380 | $623.64 |
| 96160 | <1% | 103 | $621.62 | |
| 3045F | <1% | 560 | $617.99 | |
| 0011A | <1% | 26 | $580.30 | |
| 3074F | <1% | 3,487 | $560.02 | |
| 3078F | <1% | 3,514 | $540.02 | |
| G0466 | Community health center visit, new patient | <1% | 12 | $520.80 |
| 3046F | <1% | 1,033 | $490.00 | |
| 1160F | <1% | 228 | $470.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 54 | $464.05 |
| 3079F | <1% | 1,436 | $440.00 | |
| 3077F | <1% | 963 | $340.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 21 | $324.21 |
| 83655 | <1% | 32 | $257.64 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 21 | $237.88 |
| 88738 | <1% | 70 | $235.32 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 297 | $221.38 |
| 90670 | <1% | 204 | $220.00 | |
| 90461 | <1% | 558 | $135.60 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 29 | $117.74 |
| 96161 | <1% | 17 | $110.60 | |
| 3075F | <1% | 494 | $110.00 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 16 | $85.75 |
| 80305 | <1% | 23 | $74.80 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 73 | $62.88 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 19 | $60.00 |
| 1159F | <1% | 38 | $60.00 | |
| 82044 | <1% | 21 | $55.16 | |
| 3044F | <1% | 196 | $50.00 | |
| J1071 | Injection, testosterone cypionate, 1 mg | <1% | 17 | $47.20 |
| 91301 | <1% | 81 | $40.00 | |
| 90647 | <1% | 136 | $34.80 | |
| 3051F | <1% | 92 | $30.00 | |
| 3008F | <1% | 54 | $30.00 | |
| 82570 | <1% | 21 | $27.59 | |
| 80053 | Comprehensive metabolic panel | <1% | 44 | $13.97 |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 13 | $0.00 |
| 90633 | 0% | 59 | $0.00 | |
| 99497 | 0% | 17 | $0.00 | |
| 90707 | 0% | 28 | $0.00 | |
| 90681 | 0% | 15 | $0.00 | |
| 90723 | 0% | 116 | $0.00 | |
| 1126F | 0% | 941 | $0.00 | |
| 1125F | 0% | 276 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 14 | $0.00 |
| 3052F | 0% | 178 | $0.00 | |
| 90619 | 0% | 14 | $0.00 | |
| 90674 | 0% | 13 | $0.00 | |
| 90716 | 0% | 14 | $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 officialDABNEY, TERESA (CEO)