Physician
Executive Outcomes PC
Executive Outcomes PC was paid $89K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 70% of everything it billed.
33Billing provider infoEXECUTIVE OUTCOMES PC
JACKSON, TN 38305
JACKSON, TN 38305
33aNPI1821352808assigned 06/25/2012
33bProvider typeInternal Medicine Physician
28Total paid$89K
24GClaims6,014
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Tennessee
Rank by total paid#153 of 581
Median peer was paid$15K
This provider vs. median5.9×
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 | 1,075 | $12K | |
| 2019 | 1,201 | $16K | |
| 2020 | 946 | $14K | |
| 2021 | 955 | $17K | |
| 2022 | 697 | $15K | |
| 2023 | 641 | $9K | |
| 2024incomplete | 499 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 70% | 3,757 | 2,110 | $62K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 644 | 518 | $11K |
| 97597 | 12% | 1,340 | 839 | $11K | |
| 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 | 3.3% | 123 | 113 | $3K |
| 11045 | 1.4% | 45 | 28 | $1K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.3% | 81 | 55 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 24 | 24 | $277.39 |
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 officialBANEZ, MONICO (OWNER)