Clinic
Upper Cumberland Rural Health Clinic PLLC
Upper Cumberland Rural Health Clinic PLLC was paid $13K by Medicaid between Feb 2022 and Dec 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoUPPER CUMBERLAND RURAL HEALTH CLINIC PLLC
CROSSVILLE, TN 38555
CROSSVILLE, TN 38555
33aNPI1780296863assigned 08/19/2020
33bProvider typeRural Health Clinic/Center
28Total paid$13K
24GClaims835
24DCodes billed6
24AFirst – last monthFeb 2022 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Tennessee
Rank by total paid#75 of 96
Median peer was paid$127K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2022 | 87 | $364.23 | |
| 2023 | 47 | $384.18 | |
| 2024incomplete | 701 | $12K |
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 | 59% | 550 | 333 | $8K |
| 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 | 41% | 205 | 135 | $5K |
| 99441 | <1% | 17 | 12 | $124.04 | |
| 3008F | 0% | 23 | 12 | $0.00 | |
| 1159F | 0% | 20 | 12 | $0.00 | |
| 1160F | 0% | 20 | 12 | $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 officialJAIN, NAVIN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Upper Cumberland Rural Health Clinic PLLC | Sparta, TN | $57K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.