NP / PA
Hope Family Health Services
Hope Family Health Services was paid $956K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoHOPE FAMILY HEALTH SERVICES
WESTMORELAND, TN 37186
WESTMORELAND, TN 37186
33aNPI1942337183assigned 02/27/2007
33bProvider typePhysician Assistant
28Total paid$956K
24GClaims38,492
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Tennessee
Rank by total paid#18 of 200
Median peer was paid$36K
This provider vs. median26×
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 | 3,942 | $97K | |
| 2019 | 4,477 | $115K | |
| 2020 | 5,455 | $104K | |
| 2021 | 6,158 | $125K | |
| 2022 | 7,232 | $177K | |
| 2023 | 6,067 | $181K | |
| 2024incomplete | 5,161 | $158K |
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 | 41% | 15,310 | 12,093 | $393K |
| 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 | 33% | 8,404 | 6,678 | $318K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 15% | 2,508 | 1,455 | $146K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.1% | 1,259 | 961 | $20K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.7% | 1,008 | 748 | $16K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.3% | 342 | 230 | $13K |
| 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 | 1.1% | 1,856 | 1,416 | $10K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 64 | 57 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 462 | 336 | $5K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 139 | 107 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 242 | 185 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 96 | 91 | $4K |
23 more codes
| 96127 | <1% | 3,209 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,672 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 62 | $2K |
| 99441 | <1% | 181 | $2K | |
| 0011A | <1% | 56 | $1K | |
| 0012A | <1% | 40 | $1K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 26 | $1K |
| 99201 | <1% | 36 | $828.26 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $774.30 |
| 96112 | <1% | 22 | $652.34 | |
| 99442 | <1% | 43 | $624.86 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $623.62 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 31 | $301.80 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 40 | $248.85 |
| 90688 | <1% | 24 | $209.78 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 16 | $163.35 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 55 | $138.81 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 27 | $117.62 |
| 81000 | <1% | 77 | $98.31 | |
| 90785 | <1% | 14 | $89.03 | |
| 80053 | Comprehensive metabolic panel | <1% | 59 | $57.98 |
| 82962 | <1% | 49 | $57.75 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 33 | $8.23 |
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 officialDITTES, JENNIFER (EXECUTIVE DIRECTOR)