RC Blane Enterprises, PC

RC Blane Enterprises, PC was paid $315K by Medicaid between Jan 2018 and May 2020, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoRC BLANE ENTERPRISES, PC
DOVER, TN 37058

33aNPI1831302991assigned 05/07/2007

33bProvider typeFamily Nurse Practitioner

28Total paid$315K

24GClaims11,591

24DCodes billed23

24AFirst – last monthJan 2018 – May 2020

Compared with peers

Next to other Family Nurse Practitioner providers in Tennessee

Rank by total paid#56 of 687

Median peer was paid$15K

This provider vs. median22×

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	4,258	$117K
2019	5,198	$141K
2020	2,135	$57K

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	49%	4,615	3,875	$153K
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	39%	2,931	2,421	$122K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	4.3%	1,100	920	$14K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	3.3%	1,024	485	$10K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.7%	983	856	$8K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	88	79	$3K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	66	64	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	18	18	$773.16
90688		<1%	127	113	$651.52
92552		<1%	28	28	$360.08
99173		<1%	46	44	$259.16
81003		<1%	122	110	$189.96

11 more codes

99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	15	$94.13
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	56	$83.19
99497		<1%	14	$82.80
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	227	$82.74
81001		<1%	36	$66.32
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	13	$39.96
96160		<1%	27	$31.43
G0444	Annual depression screening, 5 to 15 minutes	<1%	16	$21.31
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	<1%	13	$2.90
1170F		0%	13	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	13	$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 officialBLANE, CHRISTA (OWNER)