Boones Creek Medical PLLC

Boones Creek Medical PLLC was paid $26K by Medicaid between Jan 2018 and Sep 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.

33Billing provider infoBOONES CREEK MEDICAL PLLC
JOHNSON CITY, TN 37615

33aNPI1871528976assigned 07/11/2006

33bProvider typeFamily Medicine Physician

28Total paid$26K

24GClaims1,363

24DCodes billed2

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#412 of 754

Median peer was paid$34K

This provider vs. median0.8×

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	378	$8K
2019	302	$2K
2020	73	$565.34
2021	317	$7K
2022	115	$3K
2023	50	$662.64
2024incomplete	128	$4K

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	56%	861	596	$15K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	44%	502	408	$12K

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 officialWILKINSON, AMBER (OWNER/ADMINISTRATOR)