Physician
Sullivan and PTRS
Sullivan and PTRS was paid $2.10M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 29% of everything it billed.
33Billing provider infoSULLIVAN AND PTRS
KINGSPORT, TN 37660
KINGSPORT, TN 37660
33aNPI1003981093assigned 11/22/2006
33bProvider typeGastroenterology Physician
28Total paid$2.10M
24GClaims48,216
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Tennessee
Rank by total paid#2 of 50
Median peer was paid$19K
This provider vs. median113×
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 | 9,730 | $404K | |
| 2019 | 9,611 | $422K | |
| 2020 | 7,421 | $285K | |
| 2021 | 7,559 | $326K | |
| 2022 | 5,632 | $288K | |
| 2023 | 4,698 | $235K | |
| 2024incomplete | 3,565 | $144K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 29% | 7,690 | 6,844 | $612K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 16% | 5,247 | 4,810 | $338K |
| 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 | 15% | 9,714 | 8,603 | $318K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 7.8% | 1,579 | 1,459 | $164K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.3% | 6,505 | 5,827 | $153K |
| 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 | 6.2% | 1,875 | 1,669 | $131K |
| 43270 | 3.9% | 568 | 439 | $83K | |
| 43450 | 3.9% | 4,619 | 4,113 | $82K | |
| 88342 | 2.6% | 3,530 | 2,364 | $55K | |
| 88312 | 1.6% | 1,315 | 1,177 | $35K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 735 | 649 | $34K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 1.1% | 241 | 233 | $23K |
7 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 2,355 | $22K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 521 | $16K |
| 99205 | Prolong outpt/office vis | <1% | 159 | $16K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 109 | $12K |
| 88313 | <1% | 1,183 | $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 | <1% | 136 | $630.37 |
| 99000 | 0% | 135 | $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 officialLLOYD, PENNY (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Endoscopy Center of Kingsport | Kingsport, TN | $1.90M |
| Tennessee Anesthesiology LLC | Kingsport, TN | $534K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.