Physician
Sweetwater Hospital Er Physician Group
Sweetwater Hospital Er Physician Group was paid $1.55M by Medicaid between Jan 2018 and Sep 2022, across 18 billing codes. Its largest line is 99284, emergency room visit (serious) — 44% of everything it billed.
33Billing provider infoSWEETWATER HOSPITAL ER PHYSICIAN GROUP
SWEETWATER, TN 37874
SWEETWATER, TN 37874
33aNPI1083613905assigned 07/21/2005
33bProvider typeEmergency Medicine Physician
28Total paid$1.55M
24GClaims46,349
24DCodes billed18
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Emergency Medicine Physician providers in Tennessee
Rank by total paid#18 of 332
Median peer was paid$56K
This provider vs. median27×
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 | 11,035 | $397K | |
| 2019 | 10,176 | $366K | |
| 2020 | 5,395 | $227K | |
| 2021 | 11,062 | $318K | |
| 2022 | 8,681 | $238K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 44% | 12,099 | 11,243 | $677K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 31% | 8,957 | 8,296 | $475K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 10% | 4,051 | 3,663 | $161K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 7.9% | 2,713 | 2,538 | $123K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 1,196 | 1,015 | $49K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 945 | 787 | $35K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 960 | 738 | $14K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 672 | 225 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 250 | 164 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 59 | 51 | $1K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 2,369 | 1,937 | $285.46 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,512 | 1,183 | $246.47 |
6 more codes
| G8783 | Normal blood pressure reading documented, follow-up not required | <1% | 3,969 | $0.03 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 2,654 | $0.02 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,243 | $0.00 |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 158 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 1,521 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 21 | $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 officialTHOMPSON, DEBBIE (CFO)
Parent organizationSWEETWATER HOSPITAL ASSOCIATION
| Provider | Location | Paid |
|---|---|---|
| Sweetwater Hospital Association | Sweetwater, TN | $12.94M |
| Wendy Saint Robbins, Pediatric, PLLC | Sweetwater, TN | $663K |
| S&T Beverley, LLC | Madisonville, TN | $224K |
| Christopher S Bowman MD PC | Sweetwater, TN | $121K |
| Sweetwater Hospital Association | Sweetwater, TN | $80K |
| Sweetwater Hospital Association | Sweetwater, TN | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.