Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SULLIVAN AND PTRS

NPI: 1003981093 · KINGSPORT, TN 37660 · Gastroenterology Physician · NPI assigned 11/22/2006

$2.10M
Total Medicaid Paid
48,216
Total Claims
42,345
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLLOYD, PENNY (ADMINISTRATOR)
NPI Enumeration Date11/22/2006

Related Entities

Other providers sharing the same authorized official: LLOYD, PENNY

ProviderCityStateTotal Paid
ENDOSCOPY CENTER OF KINGSPORT KINGSPORT TN $1.90M
TENNESSEE ANESTHESIOLOGY LLC KINGSPORT TN $534K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,730 $404K
2019 9,611 $422K
2020 7,421 $285K
2021 7,559 $326K
2022 5,632 $288K
2023 4,698 $235K
2024 3,565 $144K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 7,690 6,844 $612K
88305 Level IV - Surgical pathology, gross and microscopic examination 5,247 4,810 $338K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,714 8,603 $318K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,579 1,459 $164K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,505 5,827 $153K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,875 1,669 $131K
43270 568 439 $83K
43450 4,619 4,113 $82K
88342 3,530 2,364 $55K
88312 1,315 1,177 $35K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 735 649 $34K
G0105 Colorectal cancer screening; colonoscopy on individual at high risk 241 233 $23K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,355 2,160 $22K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 521 435 $16K
99205 Prolong outpt/office vis 159 148 $16K
45380 Colonoscopy, flexible; with biopsy, single or multiple 109 107 $12K
88313 1,183 1,111 $11K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 136 130 $630.37
99000 135 67 $0.00