Physician
Medical Care PLLC
Medical Care PLLC was paid $13.14M by Medicaid between Jan 2018 and Dec 2024, across 109 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoMEDICAL CARE PLLC
ELIZABETHTON, TN 37643
ELIZABETHTON, TN 37643
33aNPI1851537260assigned 01/07/2009
33bProvider typeFamily Medicine Physician
28Total paid$13.14M
24GClaims1,088,532
24DCodes billed109
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#9 of 754
Median peer was paid$34K
This provider vs. median389×
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 | 196,439 | $1.32M | |
| 2019 | 171,186 | $1.74M | |
| 2020 | 122,252 | $1.39M | |
| 2021 | 148,583 | $2.01M | |
| 2022 | 161,371 | $2.62M | |
| 2023 | 154,596 | $2.18M | |
| 2024incomplete | 134,105 | $1.87M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 35% | 102,197 | 90,579 | $4.58M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 79,307 | 72,817 | $2.81M |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 12% | 19,163 | 18,135 | $1.54M |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 7.0% | 27,465 | 26,308 | $925K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.6% | 16,301 | 15,425 | $736K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.5% | 14,495 | 13,920 | $456K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.6% | 8,783 | 8,276 | $339K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 4,231 | 4,008 | $288K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.9% | 3,662 | 3,455 | $248K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 2,452 | 2,174 | $177K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 2,235 | 2,130 | $166K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 11,145 | 10,324 | $115K |
97 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 18,061 | $95K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 8,489 | $83K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,369 | $79K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 7,215 | $75K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 6,538 | $70K |
| 36415 | Collection of venous blood by venipuncture | <1% | 37,160 | $53K |
| 81002 | <1% | 11,803 | $29K | |
| 99177 | <1% | 3,539 | $26K | |
| 80061 | Lipid panel | <1% | 6,291 | $23K |
| 20610 | <1% | 721 | $19K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,541 | $19K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 426 | $19K |
| 99406 | <1% | 2,905 | $17K | |
| 99490 | Ccm add 20min | <1% | 1,059 | $17K |
| 96161 | <1% | 912 | $13K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 177 | $12K |
| 90674 | <1% | 624 | $9K | |
| 80050 | General health panel | <1% | 491 | $7K |
| 96127 | <1% | 1,055 | $7K | |
| 83655 | <1% | 474 | $6K | |
| 90686 | <1% | 1,387 | $6K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 101 | $6K |
| 92551 | <1% | 794 | $5K | |
| 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% | 1,860 | $5K |
| 0012A | <1% | 139 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 72 | $4K |
| 0011A | <1% | 166 | $4K | |
| 90688 | <1% | 824 | $4K | |
| 80053 | Comprehensive metabolic panel | <1% | 3,711 | $3K |
| 99443 | <1% | 140 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 142 | $3K |
| 99442 | <1% | 128 | $3K | |
| 90677 | <1% | 62 | $3K | |
| 93000 | <1% | 285 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,327 | $2K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 2,427 | $2K |
| 90651 | <1% | 293 | $2K | |
| 99459 | <1% | 170 | $2K | |
| 82044 | <1% | 817 | $2K | |
| 82570 | <1% | 851 | $1K | |
| 90734 | <1% | 165 | $1K | |
| 87420 | <1% | 106 | $1K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 104 | $1K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,563 | $991.42 |
| 99496 | <1% | 27 | $955.09 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 587 | $838.99 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 102 | $678.10 |
| 3078F | <1% | 58,366 | $660.00 | |
| 90661 | <1% | 82 | $658.47 | |
| 0013A | <1% | 32 | $642.00 | |
| 3074F | <1% | 53,472 | $580.00 | |
| 90670 | <1% | 653 | $440.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 1,176 | $439.77 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 24 | $417.12 |
| 90716 | <1% | 86 | $260.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 166 | $246.00 |
| 82607 | <1% | 49 | $204.53 | |
| 96160 | <1% | 13 | $185.24 | |
| 3079F | <1% | 11,705 | $170.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 559 | $132.07 |
| 90715 | <1% | 68 | $112.80 | |
| 82746 | <1% | 30 | $112.06 | |
| 90648 | <1% | 777 | $107.70 | |
| 90707 | <1% | 129 | $80.00 | |
| 90662 | <1% | 210 | $55.00 | |
| 3077F | <1% | 5,231 | $40.00 | |
| 85610 | <1% | 82 | $27.53 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 18 | $27.10 |
| 3725F | <1% | 146,570 | $25.00 | |
| 1036F | <1% | 62,585 | $25.00 | |
| 82728 | <1% | 12 | $24.86 | |
| 83550 | <1% | 12 | $15.93 | |
| 83540 | <1% | 12 | $11.82 | |
| 3075F | <1% | 6,099 | $10.00 | |
| 91301 | <1% | 399 | $0.24 | |
| 90681 | 0% | 45 | $0.00 | |
| 3050F | 0% | 1,375 | $0.00 | |
| 1159F | 0% | 2,560 | $0.00 | |
| 3046F | 0% | 131 | $0.00 | |
| 1160F | 0% | 1,499 | $0.00 | |
| 3045F | 0% | 315 | $0.00 | |
| 1100F | 0% | 333 | $0.00 | |
| 90685 | 0% | 30 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 29 | $0.00 |
| 90633 | 0% | 184 | $0.00 | |
| 3008F | 0% | 185,107 | $0.00 | |
| 4010F | 0% | 22,830 | $0.00 | |
| 3048F | 0% | 34,140 | $0.00 | |
| 1034F | 0% | 24,346 | $0.00 | |
| 1031F | 0% | 21,471 | $0.00 | |
| 3044F | 0% | 16,694 | $0.00 | |
| 1123F | 0% | 951 | $0.00 | |
| 3049F | 0% | 5,312 | $0.00 | |
| 90723 | 0% | 269 | $0.00 | |
| 1101F | 0% | 1,114 | $0.00 | |
| 3080F | 0% | 515 | $0.00 | |
| 2023F | 0% | 29 | $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 officialRANKIN, KATIE (CREDENTIALING DEPT)