Clinic
Maury Regional Hospital
Maury Regional Hospital was paid $4.36M by Medicaid between Jan 2018 and Dec 2024, across 88 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoMAURY REGIONAL HOSPITAL
HOHENWALD, TN 38462
HOHENWALD, TN 38462
33aNPI1790108934assigned 01/23/2014
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.36M
24GClaims196,069
24DCodes billed88
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Tennessee
Rank by total paid#8 of 90
Median peer was paid$87K
This provider vs. median50×
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 | 9,807 | $249K | |
| 2019 | 20,362 | $415K | |
| 2020 | 23,080 | $430K | |
| 2021 | 36,785 | $719K | |
| 2022 | 33,539 | $784K | |
| 2023 | 37,419 | $874K | |
| 2024incomplete | 35,077 | $889K |
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 | 30% | 42,132 | 34,165 | $1.32M |
| 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 | 26% | 30,614 | 24,124 | $1.13M |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.5% | 7,456 | 6,413 | $239K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.9% | 5,166 | 4,297 | $214K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.3% | 2,910 | 2,587 | $188K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.7% | 2,367 | 2,033 | $163K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 2,541 | 2,163 | $149K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.3% | 2,231 | 1,960 | $144K |
| 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 | 2.6% | 9,766 | 7,031 | $115K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.5% | 3,869 | 3,330 | $110K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 3,417 | 3,037 | $88K |
| 87428 | 1.8% | 1,743 | 1,398 | $79K |
76 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.5% | 5,938 | $68K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.4% | 706 | $61K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 814 | $58K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 859 | $42K |
| 87634 | <1% | 647 | $28K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,823 | $19K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 616 | $19K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,382 | $14K |
| 96160 | <1% | 1,498 | $12K | |
| 96127 | <1% | 3,291 | $12K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 324 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 958 | $9K |
| 90686 | <1% | 2,024 | $9K | |
| 3078F | <1% | 15,311 | $8K | |
| 3074F | <1% | 15,326 | $8K | |
| 3079F | <1% | 5,694 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 503 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 42 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 388 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 41 | $3K |
| 96161 | <1% | 368 | $3K | |
| 3075F | <1% | 3,113 | $3K | |
| 3077F | <1% | 1,635 | $2K | |
| 99443 | <1% | 92 | $2K | |
| 87807 | <1% | 181 | $2K | |
| 99173 | <1% | 344 | $2K | |
| 90670 | <1% | 1,451 | $2K | |
| 81003 | <1% | 1,475 | $1K | |
| 1126F | <1% | 1,607 | $1K | |
| 99381 | <1% | 21 | $1K | |
| 3080F | <1% | 700 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 145 | $1K |
| 90651 | <1% | 144 | $1K | |
| 99441 | <1% | 82 | $926.38 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 71 | $903.45 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 94 | $864.74 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 36 | $765.40 |
| 90710 | <1% | 163 | $640.15 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 21 | $519.25 |
| 90619 | <1% | 33 | $516.11 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 268 | $475.34 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 385 | $433.25 |
| 36415 | Collection of venous blood by venipuncture | <1% | 962 | $380.09 |
| 80053 | Comprehensive metabolic panel | <1% | 123 | $352.07 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 284 | $318.20 |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 24 | $312.31 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 765 | $308.89 |
| 90677 | <1% | 305 | $298.04 | |
| 80061 | Lipid panel | <1% | 68 | $289.53 |
| 81002 | <1% | 220 | $287.90 | |
| 99442 | <1% | 24 | $260.64 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 50 | $186.16 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 71 | $182.44 |
| 90715 | <1% | 14 | $177.27 | |
| 90723 | <1% | 450 | $175.39 | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 22 | $168.69 |
| 90697 | <1% | 575 | $146.59 | |
| 72100 | <1% | 17 | $129.13 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 30 | $114.49 |
| 85027 | <1% | 72 | $107.60 | |
| 90647 | <1% | 484 | $94.12 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 17 | $80.17 |
| 80305 | <1% | 22 | $78.27 | |
| 90633 | <1% | 345 | $78.04 | |
| 90688 | <1% | 38 | $68.40 | |
| 82044 | <1% | 31 | $64.61 | |
| 82570 | <1% | 31 | $41.55 | |
| G0008 | Administration of influenza virus vaccine | <1% | 205 | $38.80 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14 | $35.00 |
| 90461 | <1% | 27 | $32.68 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 25 | $2.36 |
| 3008F | <1% | 4,345 | $0.02 | |
| 90680 | 0% | 560 | $0.00 | |
| 1125F | 0% | 993 | $0.00 | |
| 90662 | 0% | 13 | $0.00 | |
| 90653 | 0% | 17 | $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 officialWHITLOCK, GREGORY (VP FINANCE/IT)
Parent organizationMAURY REGIONAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Maury Regional Hospital | Columbia, TN | $24.53M |
| Maury Regional Hospital Marshall Medical Center | Lewisburg, TN | $5.52M |
| Maury Regional Hospital Marshall Medical Center | Columbia, TN | $1.50M |
| Maury Regional Hospital | Waynesboro, TN | $1.49M |
| Maury Regional Hospital Marshall Medical Center | Columbia, TN | $497K |
| Maury Regional Hospital Marshall Medical Center | Columbia, TN | $214K |
| Maury Regional Hospital Marshall Medical Center | Mt Pleasant, TN | $148K |
| Maury Regional Hospital | Columbia, TN | $91K |
| Maury Regional Hospital Marshall Medical Center | Columbia, TN | $37K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.