Physician
Dayton Internal Medicine, PLLC
Dayton Internal Medicine, PLLC was paid $946K by Medicaid between Jan 2018 and Dec 2024, across 96 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoDAYTON INTERNAL MEDICINE, PLLC
DAYTON, TN 37321
DAYTON, TN 37321
33aNPI1942594841assigned 06/08/2011
33bProvider typeInternal Medicine Physician
28Total paid$946K
24GClaims163,323
24DCodes billed96
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Tennessee
Rank by total paid#37 of 581
Median peer was paid$15K
This provider vs. median62×
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 | 29,907 | $155K | |
| 2019 | 35,388 | $168K | |
| 2020 | 21,726 | $116K | |
| 2021 | 16,509 | $122K | |
| 2022 | 17,961 | $119K | |
| 2023 | 21,559 | $142K | |
| 2024incomplete | 20,273 | $124K |
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 | 59% | 18,662 | 13,896 | $563K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 7,458 | 5,613 | $167K |
| 99497 | 5.9% | 2,548 | 1,959 | $56K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.8% | 986 | 785 | $45K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.8% | 321 | 252 | $17K |
| 99490 | Ccm add 20min | 1.5% | 5,922 | 4,977 | $14K |
| 99406 | 1.0% | 1,731 | 1,265 | $10K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 873 | 678 | $9K |
| 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% | 2,024 | 1,422 | $5K |
| 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% | 74 | 59 | $4K |
| 3079F | <1% | 10,099 | 7,263 | $4K | |
| 3078F | <1% | 11,241 | 7,830 | $4K |
84 more codes
| 3074F | <1% | 12,530 | $4K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 518 | $3K |
| 1159F | <1% | 15,145 | $3K | |
| 1160F | <1% | 15,064 | $3K | |
| 99439 | <1% | 872 | $3K | |
| 90686 | <1% | 297 | $3K | |
| 93922 | <1% | 264 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 110 | $2K |
| 95923 | <1% | 188 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 50 | $2K |
| 3077F | <1% | 2,910 | $2K | |
| 3075F | <1% | 6,448 | $2K | |
| 3080F | <1% | 1,570 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 226 | $2K |
| 91322 | <1% | 78 | $1K | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 726 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 163 | $1K |
| 3044F | <1% | 3,855 | $960.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 1,168 | $958.62 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 706 | $939.86 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $810.19 |
| 99442 | <1% | 44 | $748.98 | |
| 80305 | <1% | 215 | $633.06 | |
| 95943 | <1% | 40 | $441.92 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 329 | $393.72 |
| 90480 | <1% | 77 | $352.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 31 | $349.34 |
| 1158F | <1% | 335 | $320.00 | |
| 90673 | <1% | 22 | $258.50 | |
| 0064A | <1% | 16 | $240.00 | |
| 3046F | <1% | 533 | $230.00 | |
| 99487 | Ccm add 20min | <1% | 29 | $137.59 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 16 | $130.26 |
| 1157F | <1% | 403 | $130.00 | |
| 87400 | <1% | 14 | $125.94 | |
| 92250 | <1% | 25 | $113.25 | |
| 95921 | <1% | 95 | $111.70 | |
| 99397 | <1% | 201 | $104.31 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 181 | $80.22 |
| 1170F | <1% | 973 | $80.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $70.33 |
| 96160 | <1% | 209 | $62.63 | |
| 3045F | <1% | 138 | $60.00 | |
| 2022F | <1% | 232 | $60.00 | |
| 80061 | Lipid panel | <1% | 612 | $58.65 |
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | <1% | 23 | $52.76 |
| 85610 | <1% | 227 | $47.24 | |
| 1111F | <1% | 35 | $40.00 | |
| 3072F | <1% | 150 | $30.00 | |
| 1126F | <1% | 104 | $20.00 | |
| 92082 | <1% | 25 | $14.81 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 389 | $13.66 |
| 81002 | <1% | 16 | $9.51 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 221 | $3.00 |
| G0008 | Administration of influenza virus vaccine | <1% | 338 | $1.07 |
| 91301 | <1% | 18 | $0.03 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 4,344 | $0.01 |
| 4010F | 0% | 2,584 | $0.00 | |
| 1036F | 0% | 1,847 | $0.00 | |
| 1123F | 0% | 770 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 336 | $0.00 |
| 3014F | 0% | 479 | $0.00 | |
| 3017F | 0% | 1,089 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 304 | $0.00 |
| 1125F | 0% | 256 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 317 | $0.00 |
| 3008F | 0% | 576 | $0.00 | |
| 3052F | 0% | 17 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 14 | $0.00 |
| 90677 | 0% | 18 | $0.00 | |
| G8970 | No risk factors or one moderate risk factor for thromboembolism | 0% | 12 | $0.00 |
| 3061F | 0% | 14 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 3,931 | $0.00 |
| 4004F | 0% | 1,288 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,914 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 735 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 3,588 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,643 | $0.00 |
| 90662 | 0% | 86 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 1,075 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 98 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 634 | $0.00 |
| 99072 | 0% | 166 | $0.00 | |
| 3051F | 0% | 18 | $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 officialSEO, HAK (OWNER)