Physician
Internal and Pulmonary Medicine of Lafollette, PC
Internal and Pulmonary Medicine of Lafollette, PC was paid $137K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 75% of everything it billed.
33Billing provider infoINTERNAL AND PULMONARY MEDICINE OF LAFOLLETTE, PC
LA FOLLETTE, TN 37766
LA FOLLETTE, TN 37766
33aNPI1811926793assigned 07/02/2006
33bProvider typeInternal Medicine Physician
28Total paid$137K
24GClaims17,412
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Tennessee
Rank by total paid#124 of 581
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 | |
|---|---|---|---|
| 2018 | 3,494 | $23K | |
| 2019 | 3,819 | $26K | |
| 2020 | 2,461 | $19K | |
| 2021 | 2,285 | $23K | |
| 2022 | 2,283 | $16K | |
| 2023 | 1,670 | $13K | |
| 2024incomplete | 1,400 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 75% | 8,117 | 5,366 | $103K |
| 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 | 9.3% | 1,935 | 1,233 | $13K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.4% | 1,103 | 228 | $9K |
| 99223 | Prolong inpt eval add15 m | 2.9% | 178 | 104 | $4K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.1% | 629 | 466 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 206 | 138 | $1K |
| 90756 | <1% | 437 | 287 | $1K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 112 | 43 | $943.26 |
| 94060 | <1% | 232 | 153 | $936.59 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 93 | 55 | $685.03 |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,554 | 1,710 | $681.24 |
| 90674 | <1% | 341 | 231 | $649.30 |
14 more codes
| 90677 | <1% | 36 | $639.02 | |
| G0008 | Administration of influenza virus vaccine | <1% | 769 | $119.99 |
| 90658 | <1% | 70 | $113.70 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 27 | $28.74 |
| 90688 | <1% | 40 | $22.45 | |
| 94761 | <1% | 86 | $19.97 | |
| 80061 | Lipid panel | <1% | 61 | $15.72 |
| G0009 | Administration of pneumococcal vaccine | <1% | 17 | $13.12 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 166 | $11.38 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 19 | $2.74 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 74 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 35 | $0.00 |
| 96160 | 0% | 23 | $0.00 | |
| 99497 | 0% | 52 | $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 officialISBER, JAMAL (OWNER)