University Surgeons Associates
University Surgeons Associates was paid $395K by Medicaid between Jan 2018 and Jun 2022, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoUNIVERSITY SURGEONS ASSOCIATES
KNOXVILLE, TN 37920
KNOXVILLE, TN 37920
33aNPI1063442333assigned 07/03/2006
33bProvider typeSpecialist
28Total paid$395K
24GClaims25,274
24DCodes billed11
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#61 of 252
Median peer was paid$57K
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.
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 | 9,570 | $83K | |
| 2019 | 10,161 | $98K | |
| 2020 | 3,034 | $94K | |
| 2021 | 1,767 | $82K | |
| 2022 | 742 | $38K |
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 | 39% | 4,245 | 3,688 | $155K |
| 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 | 35% | 2,564 | 2,332 | $138K |
| 99354 | 14% | 1,059 | 923 | $54K | |
| 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 | 9.4% | 431 | 399 | $37K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 90 | 83 | $5K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 1.3% | 196 | 121 | $5K |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 3,821 | 3,404 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,972 | 3,497 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 148 | 134 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,536 | 4,007 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 4,212 | 3,737 | $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 officialRIGGENBACH, CHARLENE (PRACTICE ADMINISTRATOR)