Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Bulls Gap › NPI 1801856414
Physician

Backus, Charles

Backus, Charles was paid $680K by Medicaid between Jan 2018 and Mar 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoBACKUS, CHARLES
BULLS GAP, TN 37711
33aNPI1801856414assigned 03/27/2006
28Total paid$680K
24GClaims19,486
24DCodes billed19
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers

Next to other Addiction Medicine (Preventive Medicine) Physician providers in Tennessee

Rank by total paid#1 of 9
Median peer was paid$9K
This provider vs. median77×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20183,654$119K
20198,781$298K
20207,034$262K
2024incomplete17$540.75
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 53% 7,665 6,792 $359K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 18% 2,461 2,352 $125K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 7.1% 920 826 $49K
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) 7.0% 353 191 $48K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4.3% 3,435 1,761 $29K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 2.4% 351 315 $16K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.2% 2,027 1,907 $15K
H2010 Comprehensive medication services, per 15 minutes 1.9% 203 146 $13K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1.5% 268 259 $10K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity <1% 228 183 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 572 537 $6K
81002 <1% 597 555 $1K
7 more codes
99213 Doctor's office visit, returning patient (routine) <1% 19 $730.74
87807 <1% 100 $719.38
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 189 $127.77
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 59 $123.21
86308 <1% 14 $50.65
81025 <1% 13 $41.40
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 12 $11.38

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.