Physician
Pomphrey, Robert
Pomphrey, Robert was paid $2K by Medicaid between Dec 2021 and Jan 2024, across 2 billing codes. Its largest line is 99284, emergency room visit (serious) — 68% of everything it billed.
33Billing provider infoPOMPHREY, ROBERT
LEXINGTON, TN 38351
LEXINGTON, TN 38351
33aNPI1861495152assigned 05/31/2005
33bProvider typeFamily Medicine Physician
28Total paid$2K
24GClaims92
24DCodes billed2
24AFirst – last monthDec 2021 – Jan 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#619 of 754
Median peer was paid$34K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 14 | $336.80 | |
| 2022 | 18 | $168.40 | |
| 2023 | 48 | $1K | |
| 2024incomplete | 12 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 68% | 60 | 53 | $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 | 32% | 32 | 26 | $505.20 |
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.