Clinic
Rural Health Services Consortium of Upper East Tennessee INC
Rural Health Services Consortium of Upper East Tennessee INC was paid $4K by Medicaid between Jan 2018 and Apr 2021, across 3 billing codes. Its largest line is G0467, community health center visit, returning patient — 92% of everything it billed.
33Billing provider infoRURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
BLUFF CITY, TN 37618
BLUFF CITY, TN 37618
33aNPI1972503753assigned 07/22/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4K
24GClaims260
24DCodes billed3
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Tennessee
Rank by total paid#75 of 90
Median peer was paid$87K
This provider vs. median0.0×
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 | 120 | $2K | |
| 2019 | 84 | $2K | |
| 2020 | 32 | $481.50 | |
| 2021 | 24 | $306.08 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 92% | 140 | 130 | $4K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 7.6% | 24 | 24 | $306.08 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 96 | 87 | $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 officialBROWN, WANDA (CREDENTIALING ADMINISTRATOR)