Supplier
Nashville Bone and Joint PLLC
Nashville Bone and Joint PLLC was paid $1.35M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 37% of everything it billed.
33Billing provider infoNASHVILLE BONE AND JOINT PLLC
HERMITAGE, TN 37076
HERMITAGE, TN 37076
33aNPI1104815430assigned 10/19/2005
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$1.35M
24GClaims74,219
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Tennessee
Rank by total paid#46 of 296
Median peer was paid$15K
This provider vs. median87×
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 | 26,163 | $548K | |
| 2019 | 31,162 | $538K | |
| 2020 | 15,283 | $238K | |
| 2024incomplete | 1,611 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 37% | 14,833 | 3,178 | $500K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 13% | 13,663 | 3,130 | $169K |
| 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 | 7.2% | 2,832 | 2,282 | $98K |
| 20611 | 5.2% | 2,135 | 1,247 | $70K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.7% | 1,303 | 1,214 | $63K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 2,416 | 2,074 | $61K |
| L1833 | Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf | 4.3% | 192 | 157 | $58K |
| 97016 | 4.2% | 7,829 | 1,862 | $57K | |
| 97161 | 3.9% | 1,198 | 1,108 | $53K | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 3.0% | 9,360 | 2,170 | $40K |
| 97014 | 2.4% | 3,420 | 992 | $32K | |
| 97164 | 1.5% | 894 | 756 | $21K |
25 more codes
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 1.1% | 329 | $14K |
| 97012 | <1% | 1,923 | $11K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 1,082 | $11K |
| 97162 | <1% | 227 | $11K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 430 | $11K |
| L0631 | Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 48 | $11K |
| 20610 | <1% | 347 | $10K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 965 | $9K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 419 | $7K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,102 | $6K |
| 73560 | <1% | 438 | $6K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 68 | $4K |
| 72100 | <1% | 175 | $3K | |
| 73610 | <1% | 211 | $3K | |
| 73030 | <1% | 191 | $3K | |
| 73110 | <1% | 123 | $2K | |
| 73630 | <1% | 129 | $2K | |
| 73130 | <1% | 80 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 182 | $1K |
| 72040 | <1% | 35 | $670.20 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 929 | $481.27 |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 16 | $429.91 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 48 | $305.93 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 102 | $102.51 |
| 97010 | 0% | 4,545 | $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 officialDUBE, WALTER (OWNER)