Physician
Hallmedical Clinic LLC
Hallmedical Clinic LLC was paid $484K by Medicaid between Jan 2022 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoHALLMEDICAL CLINIC LLC
WAYNESBORO, TN 38485
WAYNESBORO, TN 38485
33aNPI1952065328assigned 10/22/2021
33bProvider typeFamily Medicine Physician
28Total paid$484K
24GClaims42,148
24DCodes billed30
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#106 of 754
Median peer was paid$34K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2022 | 16,551 | $150K | |
| 2023 | 14,432 | $182K | |
| 2024incomplete | 11,165 | $152K |
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 | 42% | 7,357 | 5,612 | $205K |
| 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 | 19% | 3,028 | 2,226 | $92K |
| 99348 | 8.2% | 704 | 596 | $40K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 6.9% | 4,518 | 2,108 | $33K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 6.0% | 850 | 659 | $29K |
| 99384 | 5.5% | 321 | 302 | $27K | |
| 99335 | 3.6% | 436 | 326 | $17K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.4% | 1,746 | 622 | $12K |
| 95117 | 1.4% | 902 | 469 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 705 | 568 | $5K |
| 92551 | <1% | 517 | 475 | $3K | |
| 99173 | <1% | 564 | 517 | $3K |
18 more codes
| 86580 | <1% | 391 | $2K | |
| 96127 | <1% | 498 | $2K | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 192 | $1K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 921 | $982.73 |
| 96160 | <1% | 520 | $920.78 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 150 | $818.70 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,939 | $638.10 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 918 | $618.13 |
| 36415 | Collection of venous blood by venipuncture | <1% | 96 | $271.35 |
| 3078F | <1% | 5,143 | $101.18 | |
| 81002 | <1% | 47 | $62.51 | |
| 3074F | <1% | 3,810 | $25.81 | |
| 3075F | <1% | 832 | $20.00 | |
| 3079F | <1% | 181 | $10.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 261 | $0.00 |
| 3008F | 0% | 422 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 4,144 | $0.00 |
| 3077F | 0% | 35 | $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 officialHALL-GLASS, VALERIE (OWNER)