Physician
Tri-Cities Gastroenterology LLC
Tri-Cities Gastroenterology LLC was paid $96K by Medicaid between Mar 2018 and Nov 2024, across 10 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 27% of everything it billed.
33Billing provider infoTRI-CITIES GASTROENTEROLOGY LLC
KINGSPORT, TN 37663
KINGSPORT, TN 37663
33aNPI1083639918assigned 07/13/2006
33bProvider typeGastroenterology Physician
28Total paid$96K
24GClaims2,228
24DCodes billed10
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Tennessee
Rank by total paid#15 of 50
Median peer was paid$19K
This provider vs. median5.1×
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 | 191 | $5K | |
| 2019 | 290 | $11K | |
| 2020 | 171 | $8K | |
| 2021 | 270 | $10K | |
| 2022 | 560 | $30K | |
| 2023 | 303 | $14K | |
| 2024incomplete | 443 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 27% | 270 | 242 | $26K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 20% | 205 | 191 | $19K |
| 43235 | 19% | 245 | 236 | $18K | |
| 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 | 16% | 652 | 615 | $15K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 5.4% | 429 | 391 | $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 | 4.9% | 98 | 81 | $5K |
| 43450 | 4.1% | 262 | 235 | $4K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.5% | 12 | 12 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 42 | 40 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | 13 | $15.53 |
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 officialMERRITT, MICHELLE (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| County of Valley | Glasgow, MT | $110K |
| Tri-Cities Endoscopy Center PC | Kingsport, TN | $92K |
| Northeast Tennessee Anesthesia, PLLC | Kingsport, TN | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.