Physician
Access Medical Care of Monroe County PC
Access Medical Care of Monroe County PC was paid $1.48M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoACCESS MEDICAL CARE OF MONROE COUNTY PC
MADISONVILLE, TN 37354
MADISONVILLE, TN 37354
33aNPI1962877712assigned 12/04/2015
33bProvider typeGeneral Practice Physician
28Total paid$1.48M
24GClaims73,055
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Tennessee
Rank by total paid#5 of 47
Median peer was paid$64K
This provider vs. median23×
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 | 9,298 | $174K | |
| 2019 | 9,774 | $176K | |
| 2020 | 8,980 | $157K | |
| 2021 | 11,861 | $211K | |
| 2022 | 11,429 | $278K | |
| 2023 | 12,600 | $294K | |
| 2024incomplete | 9,113 | $194K |
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 | 38% | 15,941 | 10,150 | $560K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 9,240 | 6,338 | $245K |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 14% | 1,109 | 856 | $211K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 11% | 4,266 | 2,734 | $170K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.5% | 2,953 | 1,130 | $66K |
| 90838 | 2.8% | 681 | 376 | $41K | |
| 80305 | 2.1% | 5,595 | 3,498 | $30K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.8% | 3,825 | 1,955 | $27K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.4% | 969 | 638 | $21K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.1% | 842 | 589 | $17K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | 1.1% | 78 | 39 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 750 | 451 | $15K |
42 more codes
| 90836 | <1% | 301 | $11K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 11,670 | $11K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,215 | $7K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 75 | $4K |
| 99349 | <1% | 419 | $4K | |
| 81003 | <1% | 3,008 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 369 | $2K |
| 99406 | <1% | 384 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 329 | $2K |
| 81002 | <1% | 1,569 | $2K | |
| 90674 | <1% | 181 | $2K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 88 | $1K |
| 82962 | <1% | 1,013 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 59 | $1K |
| G0008 | Administration of influenza virus vaccine | <1% | 307 | $1K |
| 99336 | <1% | 38 | $932.40 | |
| 0011A | <1% | 32 | $880.00 | |
| 93000 | <1% | 146 | $801.75 | |
| 99490 | Ccm add 20min | <1% | 459 | $672.62 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 684 | $660.26 |
| 99497 | <1% | 293 | $616.49 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 718 | $602.97 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 21 | $599.39 |
| 0012A | <1% | 16 | $480.00 | |
| 99487 | Ccm add 20min | <1% | 69 | $473.33 |
| 99401 | <1% | 20 | $366.72 | |
| 90756 | <1% | 26 | $345.72 | |
| 90715 | <1% | 40 | $315.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 73 | $267.79 |
| 3008F | <1% | 2,406 | $259.85 | |
| 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% | 115 | $113.28 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 235 | $105.25 |
| 99489 | Ccm add 20min | <1% | 48 | $97.70 |
| 87210 | <1% | 44 | $74.04 | |
| 99439 | <1% | 23 | $54.24 | |
| 82270 | <1% | 41 | $51.56 | |
| 96160 | <1% | 67 | $30.87 | |
| 85610 | <1% | 28 | $25.32 | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 23 | $5.78 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 47 | $0.00 |
| 99499 | 0% | 18 | $0.00 | |
| 99000 | 0% | 89 | $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 officialLEVIN, BARBARA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Monroe County Dental Clinic | Madisonville, TN | $776K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.