Clinic
Main Street Family Care PLLC
Main Street Family Care PLLC was paid $549K by Medicaid between Dec 2020 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoMAIN STREET FAMILY CARE PLLC
TIPTONVILLE, TN 38079
TIPTONVILLE, TN 38079
33aNPI1770012676assigned 06/06/2017
33bProvider typeRural Health Clinic/Center
28Total paid$549K
24GClaims23,539
24DCodes billed28
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Tennessee
Rank by total paid#24 of 96
Median peer was paid$127K
This provider vs. median4.3×
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 | |
|---|---|---|---|
| 2020 | 278 | $4K | |
| 2021 | 5,575 | $126K | |
| 2022 | 6,494 | $144K | |
| 2023 | 6,392 | $147K | |
| 2024incomplete | 4,800 | $128K |
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 | 53% | 8,689 | 7,013 | $291K |
| 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 | 18% | 2,130 | 1,837 | $100K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 12% | 2,016 | 1,786 | $63K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.4% | 2,296 | 2,042 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.3% | 975 | 902 | $24K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.2% | 2,057 | 1,743 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 928 | 800 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 595 | 548 | $6K |
| 96127 | <1% | 723 | 655 | $4K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 51 | 47 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 40 | 39 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 118 | 102 | $2K |
16 more codes
| 92551 | <1% | 254 | $2K | |
| 81003 | <1% | 1,053 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 993 | $1K |
| 99173 | <1% | 223 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $872.74 |
| 90674 | <1% | 122 | $683.27 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $607.45 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 29 | $436.15 |
| 90661 | <1% | 25 | $108.00 | |
| 36416 | <1% | 47 | $94.50 | |
| 99441 | <1% | 20 | $81.11 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 30 | $75.69 |
| 90756 | <1% | 15 | $59.76 | |
| 90716 | 0% | 13 | $0.00 | |
| 99000 | 0% | 59 | $0.00 | |
| 90707 | 0% | 13 | $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 officialBARKER, MISTY (NP/OWNER)