Tennessee Plateau Oncology PLLC
Tennessee Plateau Oncology PLLC was paid $388K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 96413, Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance — 42% of everything it billed.
33Billing provider infoTENNESSEE PLATEAU ONCOLOGY PLLC
CROSSVILLE, TN 38555
CROSSVILLE, TN 38555
33aNPI1053575472assigned 07/15/2008
33bProvider typeSpecialist
28Total paid$388K
24GClaims36,025
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#63 of 252
Median peer was paid$57K
This provider vs. median6.8×
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 | 5,450 | $55K | |
| 2019 | 6,091 | $64K | |
| 2020 | 6,061 | $77K | |
| 2021 | 5,734 | $55K | |
| 2022 | 4,258 | $51K | |
| 2023 | 5,419 | $61K | |
| 2024incomplete | 3,012 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 42% | 3,166 | 1,564 | $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 | 16% | 3,469 | 2,999 | $62K |
| 96367 | 9.7% | 2,049 | 941 | $38K | |
| 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 | 7.7% | 1,147 | 1,006 | $30K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 7.2% | 12,080 | 7,696 | $28K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 5.7% | 2,808 | 2,310 | $22K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 4.3% | 841 | 551 | $17K |
| 96375 | Therapeutic injection; each additional sequential IV push | 3.5% | 1,033 | 516 | $13K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.5% | 1,691 | 1,200 | $6K |
| 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 | <1% | 64 | 59 | $3K |
| 80053 | Comprehensive metabolic panel | <1% | 4,492 | 3,221 | $1K |
| J2780 | Injection, ranitidine hydrochloride, 25 mg | <1% | 237 | 130 | $911.38 |
13 more codes
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 711 | $739.93 |
| 96523 | <1% | 64 | $653.64 | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 967 | $439.66 |
| 90688 | <1% | 39 | $152.62 | |
| 82728 | <1% | 212 | $87.24 | |
| 90686 | <1% | 18 | $71.42 | |
| 82378 | <1% | 165 | $70.33 | |
| 83735 | <1% | 250 | $66.58 | |
| 83550 | <1% | 200 | $47.80 | |
| 83540 | <1% | 199 | $34.88 | |
| J3490 | Unclassified drugs | <1% | 22 | $1.14 |
| G0008 | Administration of influenza virus vaccine | 0% | 20 | $0.00 |
| 99072 | 0% | 81 | $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 officialDAVIDSON, DIRK (SOLE OWNER)