NP / PA
Walk in Clinic of Sparta LLC.
Walk in Clinic of Sparta LLC. was paid $160K by Medicaid between Jan 2018 and Dec 2019, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoWALK IN CLINIC OF SPARTA LLC.
SPARTA, TN 38583
SPARTA, TN 38583
33aNPI1952438020assigned 02/27/2007
33bProvider typeMedical Physician Assistant
28Total paid$160K
24GClaims14,526
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Medical Physician Assistant providers in Tennessee
Rank by total paid#9 of 62
Median peer was paid$13K
This provider vs. median12×
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 | 8,223 | $88K | |
| 2019 | 6,303 | $72K |
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 | 50% | 2,622 | 2,072 | $80K |
| 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 | 25% | 953 | 717 | $40K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 8.8% | 1,497 | 1,118 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 154 | 136 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.5% | 247 | 223 | $6K |
| 99406 | 2.3% | 637 | 493 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 164 | 148 | $2K |
| 94060 | 1.0% | 59 | 54 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 71 | 47 | $749.97 |
| 95923 | <1% | 12 | 12 | $600.39 | |
| 90674 | <1% | 33 | 29 | $480.61 | |
| 93922 | <1% | 12 | 12 | $473.33 |
27 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 332 | $471.92 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 618 | $460.99 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 57 | $449.38 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 466 | $445.03 |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 13 | $442.31 |
| 3008F | <1% | 94 | $420.00 | |
| 80305 | <1% | 71 | $400.66 | |
| 81003 | <1% | 282 | $375.35 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 80 | $331.52 |
| 95943 | <1% | 12 | $270.81 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 27 | $217.84 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $210.99 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 666 | $187.29 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 16 | $14.64 |
| 4004F | 0% | 1,164 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,503 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 207 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 151 | $0.00 |
| 94375 | 0% | 52 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 85 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 52 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 1,109 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 240 | $0.00 |
| 1036F | 0% | 581 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 115 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 34 | $0.00 |
| 1220F | 0% | 22 | $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 officialDURBIN, WAYNE (PRESIDENT)