Southeastern Physician Services PC
Southeastern Physician Services PC was paid $14.64M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 39% of everything it billed.
OAK RIDGE, TN 37830
Next to other Internal Medicine Physician providers in Tennessee
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 74,828 | $1.69M | |
| 2019 | 72,555 | $1.71M | |
| 2020 | 56,433 | $1.58M | |
| 2021 | 78,085 | $2.20M | |
| 2022 | 86,870 | $2.29M | |
| 2023 | 106,128 | $2.84M | |
| 2024incomplete | 85,677 | $2.34M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 39% | 228,094 | 91,380 | $5.64M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 24% | 184,121 | 67,218 | $3.52M |
| 99223 | Prolong inpt eval add15 m | 20% | 61,114 | 50,680 | $2.98M |
| 99239 | Hospital discharge day management, more than 30 minutes | 11% | 55,280 | 46,465 | $1.55M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.2% | 4,895 | 2,066 | $327K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.1% | 3,739 | 3,226 | $164K |
| 99497 | 1.1% | 10,579 | 8,253 | $157K | |
| 99220 | <1% | 1,394 | 1,092 | $66K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 2,565 | 2,181 | $57K |
| 99254 | <1% | 592 | 550 | $51K | |
| 99221 | <1% | 1,415 | 1,181 | $43K | |
| 99253 | <1% | 575 | 507 | $31K |
15 more codes
| 99217 | <1% | 1,184 | $29K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 511 | $7K |
| 99406 | <1% | 1,509 | $5K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 66 | $5K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,136 | $4K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 25 | $2K |
| 99226 | <1% | 92 | $2K | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 87 | $622.64 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 16 | $511.39 |
| 99407 | <1% | 121 | $342.67 | |
| 93018 | <1% | 13 | $92.50 | |
| 93016 | <1% | 13 | $73.11 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 891 | $0.00 |
| 1124F | 0% | 24 | $0.00 | |
| 1123F | 0% | 525 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.