Tennessee Valley Gastroenterology
Tennessee Valley Gastroenterology was paid $21K by Medicaid between Feb 2018 and Jan 2023, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoTENNESSEE VALLEY GASTROENTEROLOGY
FLORENCE, AL 35630
FLORENCE, AL 35630
33aNPI1093851313assigned 01/30/2007
33bProvider typeSpecialist
28Total paid$21K
24GClaims986
24DCodes billed6
24AFirst – last monthFeb 2018 – Jan 2023
Compared with peers
Next to other Specialist providers in Alabama
Rank by total paid#97 of 162
Median peer was paid$49K
This provider vs. median0.4×
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 | 420 | $8K | |
| 2019 | 207 | $3K | |
| 2020 | 129 | $4K | |
| 2021 | 128 | $2K | |
| 2022 | 83 | $2K | |
| 2023 | 19 | $790.17 |
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 | 52% | 746 | 704 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 124 | 121 | $4K |
| 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 | 13% | 42 | 42 | $3K |
| 43235 | 12% | 30 | 28 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | 3.5% | 14 | 14 | $729.00 |
| 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 | 2.9% | 30 | 27 | $589.60 |
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 officialWILKES, JASON (OWNER/PHYSICIAN)