Physician
Hovious, John
Hovious, John was paid $1.40M by Medicaid between Jan 2018 and Oct 2024, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoHOVIOUS, JOHN
BRISTOL, TN 37620
BRISTOL, TN 37620
33aNPI1811994981assigned 07/05/2005
33bProvider typePediatrics Physician
28Total paid$1.40M
24GClaims57,686
24DCodes billed55
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#62 of 333
Median peer was paid$139K
This provider vs. median10×
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 | 7,847 | $184K | |
| 2019 | 8,505 | $203K | |
| 2020 | 8,050 | $189K | |
| 2021 | 8,157 | $175K | |
| 2022 | 10,635 | $247K | |
| 2023 | 6,915 | $198K | |
| 2024incomplete | 7,577 | $201K |
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 | 39% | 11,412 | 9,213 | $546K |
| 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 | 13% | 2,578 | 2,181 | $177K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.3% | 3,426 | 2,713 | $130K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.6% | 1,698 | 1,427 | $120K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 1,258 | 1,082 | $80K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 1,099 | 858 | $76K |
| 87428 | 3.8% | 1,090 | 905 | $53K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 655 | 490 | $47K |
| 92551 | 1.4% | 2,553 | 1,966 | $19K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 1,533 | 1,326 | $15K |
| 99177 | 1.0% | 2,939 | 2,295 | $15K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 711 | 491 | $12K |
43 more codes
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,216 | $12K |
| 99401 | <1% | 704 | $10K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 386 | $7K |
| 99050 | <1% | 545 | $7K | |
| 3074F | <1% | 3,857 | $7K | |
| 3078F | <1% | 3,549 | $6K | |
| 99441 | <1% | 245 | $6K | |
| 90686 | <1% | 1,342 | $5K | |
| 90670 | <1% | 1,033 | $5K | |
| 87807 | <1% | 437 | $4K | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 361 | $4K |
| 3008F | <1% | 3,513 | $4K | |
| 96127 | <1% | 849 | $4K | |
| 96160 | <1% | 111 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 155 | $2K |
| 90647 | <1% | 649 | $2K | |
| 90723 | <1% | 565 | $2K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 680 | $2K |
| 86769 | <1% | 1,161 | $2K | |
| 90680 | <1% | 229 | $1K | |
| 90716 | <1% | 261 | $1K | |
| 90633 | <1% | 339 | $1K | |
| 96161 | <1% | 262 | $1K | |
| 90651 | <1% | 280 | $871.60 | |
| 90734 | <1% | 304 | $828.41 | |
| 90707 | <1% | 243 | $818.87 | |
| 94760 | <1% | 1,245 | $776.61 | |
| 99072 | <1% | 1,441 | $716.30 | |
| 99460 | <1% | 14 | $670.26 | |
| 90685 | <1% | 107 | $545.65 | |
| 90715 | <1% | 179 | $485.15 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $423.64 |
| 90696 | <1% | 114 | $404.04 | |
| 99462 | <1% | 21 | $320.08 | |
| 90671 | <1% | 37 | $308.00 | |
| 99173 | <1% | 44 | $201.99 | |
| 83655 | <1% | 19 | $160.66 | |
| 90710 | <1% | 20 | $136.95 | |
| 90677 | <1% | 19 | $75.00 | |
| 85018 | <1% | 32 | $66.07 | |
| 81002 | <1% | 13 | $44.46 | |
| 99000 | <1% | 126 | $34.20 | |
| 91307 | 0% | 15 | $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.