Clinic
Cole Family Practice
Cole Family Practice was paid $121K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoCOLE FAMILY PRACTICE
HERMITAGE, TN 37076
HERMITAGE, TN 37076
33aNPI1790012441assigned 11/17/2009
33bProvider typePrimary Care Clinic/Center
28Total paid$121K
24GClaims3,501
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Tennessee
Rank by total paid#67 of 139
Median peer was paid$101K
This provider vs. median1.2×
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 | 877 | $28K | |
| 2019 | 637 | $22K | |
| 2020 | 437 | $14K | |
| 2021 | 621 | $24K | |
| 2022 | 542 | $19K | |
| 2023 | 293 | $11K | |
| 2024incomplete | 94 | $4K |
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 | 54% | 1,959 | 1,660 | $65K |
| 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 | 45% | 1,304 | 1,086 | $55K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | 14 | $903.07 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 22 | 13 | $192.47 |
| 99173 | <1% | 46 | 45 | $126.80 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 90 | 75 | $105.71 |
| 81003 | <1% | 65 | 52 | $62.17 |
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 officialCOLE, AMY (OWNER/NURSE PRACTITIONER)
| Provider | Location | Paid |
|---|---|---|
| Schenectady Family Health Services, INC. | Schenectady, NY | $352.24 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.