Physician
Ensemble Medical PLLC
Ensemble Medical PLLC was paid $16K by Medicaid between May 2018 and Jan 2020, across 5 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 78% of everything it billed.
33Billing provider infoENSEMBLE MEDICAL PLLC
KNOXVILLE, TN 37917
KNOXVILLE, TN 37917
33aNPI1821523101assigned 04/25/2017
33bProvider typePsychiatry Physician
28Total paid$16K
24GClaims574
24DCodes billed5
24AFirst – last monthMay 2018 – Jan 2020
Compared with peers
Next to other Psychiatry Physician providers in Tennessee
Rank by total paid#71 of 135
Median peer was paid$18K
This provider vs. median0.9×
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 | 172 | $4K | |
| 2019 | 374 | $11K | |
| 2020 | 28 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 78% | 429 | 221 | $12K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 10% | 31 | 29 | $2K |
| 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 | 7.7% | 74 | 61 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 21 | 20 | $581.47 |
| 80305 | <1% | 19 | 15 | $44.63 |
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 officialSHATTUCK, DEAVER (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Housecall Primary Care, PLLC | Maryville, TN | $517K |
| Ensemble Recovery Enterprises, LLC | Knoxville, TN | $174K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.