Kenneth H. Tozer II, MD
Kenneth H. Tozer II, MD was paid $29K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoKENNETH H. TOZER II, MD
MILAN, TN 38358
MILAN, TN 38358
33aNPI1053413237assigned 09/01/2006
33bProvider typeSpecialist
28Total paid$29K
24GClaims1,980
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#150 of 252
Median peer was paid$57K
This provider vs. median0.5×
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 | 169 | $2K | |
| 2019 | 127 | $1K | |
| 2020 | 139 | $3K | |
| 2021 | 83 | $1K | |
| 2022 | 169 | $4K | |
| 2023 | 588 | $7K | |
| 2024incomplete | 705 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 50% | 1,174 | 814 | $15K |
| 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 | 23% | 479 | 327 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 189 | 146 | $5K |
| 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 | 6.0% | 29 | 26 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 65 | 56 | $613.99 |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.5% | 31 | 16 | $430.18 |
| 93000 | <1% | 13 | 13 | $2.57 |
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 officialTOZER, KENNETH (SURGEON)