KARL RHEA, MD
Family Medicine Physician · SOMERVILLE, TN
Individual Active NPI 1831201292
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 131 | 1,490 | $96,627 | $69,860 | $45,703 |
| 2023 | 152 | 1,753 | $111,227 | $74,584 | $48,224 |
| 2022 | 162 | 2,076 | $118,069 | $79,892 | $53,201 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 319 | $2 | $2 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 280 | $118 | $71 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 208 | $83 | $51 |
| 71046 | X-ray of chest, 2 views | 108 | $30 | $20 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 75 | $13 | $9 |
| 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 | 61 | $15 | $4 |
| 36415 | Insertion of needle into vein for collection of blood sample | 54 | $9 | $9 |
| 70210 | X-ray of paranasal sinus, 1-2 views | 41 | $29 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 40 | $82 | $82 |
| G0008 | Administration of influenza virus vaccine | 39 | $30 | $30 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 27 | $7 | $4 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 15 | $21 | $15 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | MD0000018090 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.