Marvel Clinic P.C.
Marvel Clinic P.C. was paid $878K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 30% of everything it billed.
33Billing provider infoMARVEL CLINIC P.C.
TULLAHOMA, TN 37388
TULLAHOMA, TN 37388
33aNPI1760487086assigned 06/14/2005
33bProvider typeSpecialist
28Total paid$878K
24GClaims36,493
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#42 of 252
Median peer was paid$57K
This provider vs. median15×
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 | 3,491 | $84K | |
| 2019 | 3,968 | $92K | |
| 2020 | 4,035 | $93K | |
| 2021 | 5,102 | $119K | |
| 2022 | 6,357 | $167K | |
| 2023 | 7,159 | $177K | |
| 2024incomplete | 6,381 | $146K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 4,123 | 3,779 | $260K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 8,935 | 7,357 | $209K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 10% | 1,878 | 1,688 | $92K |
| 95024 | 6.1% | 681 | 637 | $54K | |
| 95115 | 5.6% | 9,132 | 3,034 | $49K | |
| 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 | 3.8% | 1,004 | 790 | $33K |
| 92567 | 3.2% | 3,029 | 2,753 | $28K | |
| 95117 | 3.2% | 5,260 | 1,628 | $28K | |
| 70486 | 2.8% | 302 | 244 | $24K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 2.3% | 158 | 140 | $20K |
| 92588 | 2.0% | 450 | 438 | $18K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 1.8% | 217 | 212 | $16K |
9 more codes
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.1% | 152 | $10K |
| 92557 | 1.1% | 576 | $10K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.1% | 49 | $10K |
| 00126 | <1% | 132 | $7K | |
| 31575 | <1% | 67 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 44 | $3K |
| 00160 | <1% | 25 | $2K | |
| 69210 | <1% | 75 | $1K | |
| 69990 | 0% | 204 | $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 officialWILKINS, TRACY (CREDENTIALING FACILITATOR)
| Provider | Location | Paid |
|---|---|---|
| Center for Day Surgery | Tullahoma, TN | $69K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.