Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

American Arthritis & Rheumatology Associates TN, PLLC

American Arthritis & Rheumatology Associates TN, PLLC was paid $74K by Medicaid between Jan 2019 and Nov 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 91% of everything it billed.

33Billing provider infoAMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES TN, PLLC
CROSSVILLE, TN 38555
33aNPI1043799026assigned 08/09/2018
33bProvider typeRheumatology Physician
28Total paid$74K
24GClaims5,001
24DCodes billed4
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers

Next to other Rheumatology Physician providers in Tennessee

Rank by total paid#5 of 18
Median peer was paid$11K
This provider vs. median6.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GARRETT, KATHRYN controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
201912$0.00
2020122$2K
20211,318$22K
20221,202$17K
20231,349$17K
2024incomplete998$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 91% 4,270 3,365 $67K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.9% 698 563 $7K
20610 <1% 17 12 $128.26
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 16 12 $12.98

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 officialGARRETT, KATHRYN (EVP)
Same official

Other billing entities under GARRETT, KATHRYN

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.