NP / PA
Valley Medical
Valley Medical was paid $133K by Medicaid between Aug 2022 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
33Billing provider infoVALLEY MEDICAL
JACKSBORO, TN 37757
JACKSBORO, TN 37757
33aNPI1811631518assigned 04/27/2022
33bProvider typeFamily Nurse Practitioner
28Total paid$133K
24GClaims9,622
24DCodes billed26
24AFirst – last monthAug 2022 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Tennessee
Rank by total paid#125 of 687
Median peer was paid$15K
This provider vs. median9.1×
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 | 453 | $6K | |
| 2023 | 3,395 | $44K | |
| 2024incomplete | 5,774 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 66% | 2,030 | 1,638 | $87K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 641 | 542 | $21K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.8% | 190 | 141 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.5% | 122 | 113 | $3K |
| 96127 | 2.1% | 1,002 | 857 | $3K | |
| 99205 | Prolong outpt/office vis | 1.9% | 34 | 28 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 60 | 54 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 130 | 114 | $2K |
| 36415 | Collection of venous blood by venipuncture | 1.1% | 1,142 | 965 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 86 | 53 | $914.82 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 77 | 54 | $622.44 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 71 | 58 | $474.40 |
14 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 66 | $265.81 |
| 99406 | <1% | 26 | $168.09 | |
| 81003 | <1% | 56 | $70.86 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,386 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 175 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 16 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 14 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 473 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 627 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 94 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 13 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 13 | $0.00 |
| G9908 | Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 52 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 26 | $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 officialBOND, SANDRA (OWNER, NP)