Clinic
Integrated Health Cooperative, LLC.
Integrated Health Cooperative, LLC. was paid $1.18M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoINTEGRATED HEALTH COOPERATIVE, LLC.
NASHVILLE, TN 37228
NASHVILLE, TN 37228
33aNPI1982945358assigned 03/11/2013
33bProvider typePrimary Care Clinic/Center
28Total paid$1.18M
24GClaims47,135
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Tennessee
Rank by total paid#19 of 139
Median peer was paid$101K
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 | 5,623 | $79K | |
| 2019 | 6,492 | $126K | |
| 2020 | 5,194 | $150K | |
| 2021 | 5,490 | $197K | |
| 2022 | 7,205 | $267K | |
| 2023 | 10,001 | $222K | |
| 2024incomplete | 7,130 | $141K |
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 | 40% | 12,408 | 9,417 | $470K |
| H0033 | Oral medication administration, direct observation | 15% | 1,055 | 629 | $173K |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 13% | 705 | 491 | $156K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 5,100 | 3,920 | $139K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.3% | 868 | 684 | $50K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.8% | 890 | 694 | $45K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | 2.6% | 109 | 56 | $30K |
| 80305 | 2.2% | 2,325 | 1,320 | $26K | |
| 92250 | 1.9% | 1,043 | 761 | $22K | |
| 90686 | 1.2% | 1,447 | 1,018 | $14K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 171 | 116 | $9K |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,433 | 6,456 | $9K |
36 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 988 | $7K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 127 | $5K |
| 99407 | <1% | 453 | $4K | |
| 90688 | <1% | 350 | $4K | |
| 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% | 1,086 | $3K |
| 96156 | <1% | 120 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 57 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 34 | $2K |
| 82947 | <1% | 2,396 | $1K | |
| 83037 | <1% | 435 | $1K | |
| 99406 | <1% | 332 | $1K | |
| 99386 | <1% | 16 | $958.58 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 41 | $856.23 |
| 82948 | <1% | 538 | $490.58 | |
| 81002 | <1% | 537 | $433.83 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 64 | $284.49 |
| G0008 | Administration of influenza virus vaccine | <1% | 163 | $233.07 |
| 99441 | <1% | 18 | $162.54 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 52 | $157.85 |
| 3074F | <1% | 346 | $10.00 | |
| 3078F | 0% | 276 | $0.00 | |
| 2025F | 0% | 1,012 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 554 | $0.00 |
| 2024F | 0% | 293 | $0.00 | |
| 3077F | 0% | 163 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 96 | $0.00 |
| 3008F | 0% | 761 | $0.00 | |
| 3079F | 0% | 174 | $0.00 | |
| 3044F | 0% | 81 | $0.00 | |
| 4000F | 0% | 293 | $0.00 | |
| 2000F | 0% | 391 | $0.00 | |
| 3080F | 0% | 123 | $0.00 | |
| 3072F | 0% | 65 | $0.00 | |
| 0001F | 0% | 13 | $0.00 | |
| 3048F | 0% | 53 | $0.00 | |
| 3075F | 0% | 80 | $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 officialWOMACK, PAMELA (CEO)