Clinic
Smoky Mountain Primary Care
Smoky Mountain Primary Care was paid $202K by Medicaid between Dec 2020 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoSMOKY MOUNTAIN PRIMARY CARE
MARYVILLE, TN 37804
MARYVILLE, TN 37804
33aNPI1932602448assigned 03/10/2018
33bProvider typePrimary Care Clinic/Center
28Total paid$202K
24GClaims7,230
24DCodes billed12
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Tennessee
Rank by total paid#51 of 139
Median peer was paid$101K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2020 | 83 | $3K | |
| 2021 | 1,380 | $41K | |
| 2022 | 2,009 | $51K | |
| 2023 | 2,098 | $59K | |
| 2024incomplete | 1,660 | $49K |
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 | 54% | 2,244 | 1,970 | $109K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 2,230 | 1,926 | $75K |
| 96127 | 3.7% | 1,129 | 949 | $7K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.7% | 63 | 40 | $3K |
| 36415 | Collection of venous blood by venipuncture | 1.4% | 1,334 | 1,142 | $3K |
| 99443 | <1% | 21 | 20 | $1K | |
| 99385 | <1% | 13 | 12 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | 12 | $960.18 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 13 | 12 | $788.86 |
| 90661 | <1% | 14 | 12 | $434.45 | |
| 81003 | <1% | 142 | 129 | $281.03 | |
| G0008 | Administration of influenza virus vaccine | <1% | 14 | 12 | $45.76 |
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 officialCHAMBERS, KIMBERLY (OWNER)