Clinic
Rural Medical Services, INC.
Rural Medical Services, INC. was paid $260K by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoRURAL MEDICAL SERVICES, INC.
NEWPORT, TN 37821
NEWPORT, TN 37821
33aNPI1962443697assigned 06/10/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$260K
24GClaims13,438
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Tennessee
Rank by total paid#28 of 90
Median peer was paid$87K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2018 | 1,998 | $42K | |
| 2019 | 1,935 | $44K | |
| 2020 | 1,440 | $35K | |
| 2021 | 3,154 | $63K | |
| 2022 | 3,140 | $48K | |
| 2023 | 570 | $7K | |
| 2024incomplete | 1,201 | $20K |
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 | 65% | 5,411 | 4,647 | $169K |
| 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 | 17% | 1,299 | 1,089 | $43K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 10% | 289 | 218 | $27K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.3% | 1,031 | 905 | $11K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 136 | 123 | $3K |
| 90688 | <1% | 232 | 215 | $2K | |
| 90686 | <1% | 224 | 173 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 115 | 106 | $1K |
| 3008F | <1% | 1,722 | 1,477 | $780.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 70 | 65 | $581.79 |
| 90674 | <1% | 15 | 13 | $298.36 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | 12 | $283.98 |
17 more codes
| 3074F | <1% | 1,086 | $250.00 | |
| G0467 | Community health center visit, returning patient | <1% | 13 | $215.60 |
| 3078F | <1% | 964 | $150.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 123 | $104.67 |
| 3079F | <1% | 309 | $100.00 | |
| 92551 | <1% | 12 | $74.91 | |
| 99177 | <1% | 13 | $64.01 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 21 | $40.47 |
| 81002 | <1% | 15 | $22.05 | |
| 3075F | <1% | 128 | $20.00 | |
| 0011A | <1% | 21 | $16.94 | |
| 0502F | 0% | 50 | $0.00 | |
| 90662 | 0% | 12 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 16 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 39 | $0.00 |
| 91301 | 0% | 32 | $0.00 | |
| 0012A | 0% | 26 | $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 officialSTANIFER, LARRY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Rural Medical Services, INC. | Newport, TN | $2.92M |
| Rural Medical Services, INC. | Parrottsville, TN | $163K |
| Rural Medical Services, INC. | Hartford, TN | $87K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.