Physician
Raphael D Lanade, MD PLLC
Raphael D Lanade, MD PLLC was paid $373K by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.
33Billing provider infoRAPHAEL D LANADE, MD PLLC
CHATTANOOGA, TN 37421
CHATTANOOGA, TN 37421
33aNPI1871925099assigned 07/31/2013
33bProvider typeInternal Medicine Physician
28Total paid$373K
24GClaims24,359
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Tennessee
Rank by total paid#70 of 581
Median peer was paid$15K
This provider vs. median25×
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 | 4,302 | $77K | |
| 2019 | 4,237 | $70K | |
| 2020 | 3,598 | $56K | |
| 2021 | 2,966 | $48K | |
| 2022 | 3,773 | $48K | |
| 2023 | 2,944 | $40K | |
| 2024incomplete | 2,539 | $34K |
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 | 65% | 6,772 | 6,037 | $242K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 3,784 | 3,201 | $84K |
| 90756 | 3.5% | 1,055 | 976 | $13K | |
| 36415 | Collection of venous blood by venipuncture | 1.2% | 3,586 | 3,276 | $4K |
| 95923 | 1.2% | 99 | 92 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.2% | 57 | 54 | $4K |
| 81002 | <1% | 2,549 | 2,302 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 466 | 432 | $3K |
| 82947 | <1% | 1,494 | 1,315 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 54 | 49 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 279 | 227 | $2K |
| 93000 | <1% | 150 | 143 | $2K |
22 more codes
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 563 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $1K |
| 76775 | <1% | 25 | $718.06 | |
| 99497 | <1% | 394 | $634.75 | |
| 90661 | <1% | 12 | $278.32 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 212 | $101.93 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 89 | $29.69 |
| 96160 | <1% | 238 | $28.46 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 16 | $19.47 |
| 1125F | 0% | 222 | $0.00 | |
| 3008F | 0% | 123 | $0.00 | |
| 1126F | 0% | 222 | $0.00 | |
| 1170F | 0% | 206 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 426 | $0.00 |
| 3074F | 0% | 51 | $0.00 | |
| 1159F | 0% | 201 | $0.00 | |
| 1158F | 0% | 185 | $0.00 | |
| 1090F | 0% | 201 | $0.00 | |
| 1003F | 0% | 186 | $0.00 | |
| 3288F | 0% | 202 | $0.00 | |
| 1160F | 0% | 200 | $0.00 | |
| 3078F | 0% | 25 | $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 officialLANADE, RAPHAEL (MEDICAL DIRECTOR)