Highlands Neurosurgery PC

Highlands Neurosurgery PC was paid $231K by Medicaid between Feb 2018 and Nov 2024, across 5 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 55% of everything it billed.

33Billing provider infoHIGHLANDS NEUROSURGERY PC
BRISTOL, TN 37620

33aNPI1104830405assigned 07/29/2006

33bProvider typePhysical Medicine & Rehabilitation Physician

28Total paid$231K

24GClaims3,835

24DCodes billed5

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Tennessee

Rank by total paid#4 of 32

Median peer was paid$3K

This provider vs. median76×

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	48	$2K
2019	231	$9K
2020	561	$23K
2021	737	$40K
2022	931	$60K
2023	814	$61K
2024incomplete	513	$37K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	55%	1,498	1,412	$126K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	970	891	$40K
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	14%	531	482	$32K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	11%	462	422	$25K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.6%	374	344	$8K

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 officialFLETCHER-HELTON, CAROLYN (PRACTICE ADMINISTRATOR)