Clinic
Somerville Medical Clinic,inc
Somerville Medical Clinic,inc was paid $18K by Medicaid between Jan 2018 and Mar 2018, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.
33Billing provider infoSOMERVILLE MEDICAL CLINIC,INC
SOMERVILLE, TN 38068
SOMERVILLE, TN 38068
33aNPI1972834414assigned 01/22/2010
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$18K
24GClaims993
24DCodes billed10
24AFirst – last monthJan 2018 – Mar 2018
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Tennessee
Rank by total paid#16 of 18
Median peer was paid$314K
This provider vs. median0.1×
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 | 993 | $18K |
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 | 71% | 314 | 269 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 62 | 53 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 9.8% | 185 | 166 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.1% | 60 | 22 | $549.92 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 2.9% | 69 | 64 | $514.48 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 1.5% | 68 | 63 | $260.02 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 63 | 56 | $77.50 |
| 36415 | Collection of venous blood by venipuncture | <1% | 67 | 58 | $67.35 |
| 81003 | <1% | 38 | 31 | $30.57 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 67 | 58 | $5.20 |
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 officialSHOAF, RAYNOR (OFFICE MANAGER)