Physician
Upper Cumberland Rural Health Clinic PLLC
Upper Cumberland Rural Health Clinic PLLC was paid $110.92 by Medicaid between Jan 2019 and Jun 2023, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoUPPER CUMBERLAND RURAL HEALTH CLINIC PLLC
GAINESBORO, TN 38562
GAINESBORO, TN 38562
33aNPI1891007431assigned 07/12/2010
33bProvider typeFamily Medicine Physician
28Total paid$110.92
24GClaims833
24DCodes billed2
24AFirst – last monthJan 2019 – Jun 2023
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#704 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 | |
|---|---|---|---|
| 2019 | 99 | $0.00 | |
| 2020 | 65 | $0.00 | |
| 2021 | 195 | $0.00 | |
| 2022 | 437 | $0.00 | |
| 2023 | 37 | $110.92 |
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 | 100% | 257 | 191 | $110.92 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 576 | 406 | $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 officialJAIN, PUSHPENDRA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Upper Cumberland Rural Health Clinic PLLC | Cookeville, TN | $3.60M |
| Cookeville Medical Center PC | Cookeville, TN | $1.21M |
| Emergency Services Corporation of America | Cookeville, TN | $248K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.