Physician
Memorial Health Partners Foundation, INC
Memorial Health Partners Foundation, INC was paid $2.71M by Medicaid between Jan 2018 and Dec 2024, across 79 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoMEMORIAL HEALTH PARTNERS FOUNDATION, INC
CHATTANOOGA, TN 37411
CHATTANOOGA, TN 37411
33aNPI1922053545assigned 05/23/2006
33bProvider typeSurgery Physician
28Total paid$2.71M
24GClaims133,825
24DCodes billed79
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Surgery Physician providers in Tennessee
Rank by total paid#3 of 87
Median peer was paid$9K
This provider vs. median298×
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 | 20,717 | $363K | |
| 2019 | 22,353 | $424K | |
| 2020 | 15,953 | $341K | |
| 2021 | 17,834 | $415K | |
| 2022 | 18,291 | $406K | |
| 2023 | 23,229 | $452K | |
| 2024incomplete | 15,448 | $309K |
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 | 46% | 44,778 | 35,129 | $1.26M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 30,474 | 25,866 | $886K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.1% | 4,517 | 3,869 | $165K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.1% | 3,503 | 1,350 | $56K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 594 | 536 | $38K |
| 99223 | Prolong inpt eval add15 m | 1.4% | 1,182 | 973 | $37K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.3% | 1,961 | 860 | $35K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 2,408 | 1,211 | $33K |
| 36415 | Collection of venous blood by venipuncture | <1% | 23,539 | 18,447 | $24K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,099 | 1,923 | $23K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 404 | 156 | $23K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 329 | 301 | $19K |
67 more codes
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 346 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 361 | $11K |
| 99220 | <1% | 174 | $7K | |
| 99441 | <1% | 599 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 228 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 116 | $6K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 98 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 83 | $5K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 149 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 118 | $4K |
| 85027 | <1% | 999 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 393 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 70 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,459 | $3K |
| 82962 | <1% | 2,781 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 104 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 721 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 762 | $3K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 260 | $3K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 16 | $2K |
| 81003 | <1% | 2,661 | $2K | |
| 99442 | <1% | 153 | $2K | |
| 90686 | <1% | 635 | $2K | |
| 99173 | <1% | 193 | $1K | |
| 90674 | <1% | 123 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 122 | $879.79 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 92 | $691.26 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 44 | $674.13 |
| 90682 | <1% | 18 | $605.62 | |
| 92551 | <1% | 95 | $567.74 | |
| 76642 | <1% | 14 | $552.10 | |
| 99219 | <1% | 28 | $551.73 | |
| 99497 | <1% | 55 | $436.88 | |
| 90756 | <1% | 54 | $417.43 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 125 | $353.20 |
| 94010 | <1% | 43 | $331.24 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 63 | $330.21 |
| 99205 | Prolong outpt/office vis | <1% | 14 | $295.17 |
| 85018 | <1% | 105 | $289.63 | |
| 80053 | Comprehensive metabolic panel | <1% | 241 | $276.63 |
| 90661 | <1% | 18 | $260.86 | |
| 95251 | <1% | 49 | $257.82 | |
| 96127 | <1% | 109 | $246.66 | |
| 87807 | <1% | 13 | $159.62 | |
| 82044 | <1% | 50 | $131.94 | |
| 80061 | Lipid panel | <1% | 125 | $125.34 |
| 99177 | <1% | 13 | $100.44 | |
| 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% | 70 | $64.46 |
| 36416 | <1% | 27 | $60.30 | |
| 94729 | <1% | 28 | $54.62 | |
| 80305 | <1% | 14 | $34.42 | |
| 81002 | <1% | 72 | $32.92 | |
| G0008 | Administration of influenza virus vaccine | <1% | 143 | $16.25 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 14 | $3.35 |
| 3008F | 0% | 102 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 16 | $0.00 |
| 1000F | 0% | 77 | $0.00 | |
| 1034F | 0% | 19 | $0.00 | |
| 90656 | 0% | 18 | $0.00 | |
| 3074F | 0% | 65 | $0.00 | |
| 90694 | 0% | 15 | $0.00 | |
| 90670 | 0% | 66 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 90685 | 0% | 28 | $0.00 | |
| 3078F | 0% | 28 | $0.00 | |
| 1033F | 0% | 52 | $0.00 | |
| 90648 | 0% | 79 | $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 officialHUGHES, MAELOR (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Memorial Health Partners Foundation INC | Spring City, TN | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.