Koerten, James

Koerten, James was paid $1.37M by Medicaid between Jan 2018 and Apr 2023, across 29 billing codes. Its largest line is 59400, Routine obstetric care including antepartum care, vaginal delivery, and postpartum care — 63% of everything it billed.

33Billing provider infoKOERTEN, JAMES
SEVIERVILLE, TN 37862

33aNPI1104870237assigned 05/22/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$1.37M

24GClaims25,132

24DCodes billed29

24AFirst – last monthJan 2018 – Apr 2023

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Tennessee

Rank by total paid#18 of 176

Median peer was paid$39K

This provider vs. median35×

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	4,862	$130K
2019	4,340	$165K
2020	4,849	$293K
2021	5,539	$284K
2022	4,879	$481K
2023	663	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
59400	Routine obstetric care including antepartum care, vaginal delivery, and postpartum care	63%	705	635	$868K
J1050	Injection, medroxyprogesterone acetate, 1 mg	9.9%	1,602	1,414	$136K
59510		4.6%	51	42	$63K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	4.3%	831	753	$60K
99234		3.8%	630	443	$52K
59426		2.6%	70	69	$35K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	2.1%	2,119	1,827	$28K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.6%	565	485	$22K
0503F		<1%	1,121	950	$13K
0500F		<1%	1,284	893	$12K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	494	428	$12K
54150		<1%	79	74	$11K

17 more codes

99215	Doctor's office visit, returning patient (complex)	<1%	364	$10K
81002		<1%	5,716	$10K
59425		<1%	32	$10K
99218		<1%	110	$6K
59430		<1%	931	$5K
59025	Fetal non-stress test	<1%	91	$3K
88738		<1%	581	$2K
99217		<1%	50	$2K
82962		<1%	786	$2K
87210		<1%	575	$2K
99205	Prolong outpt/office vis	<1%	71	$1K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	28	$1K
0502F		<1%	1,265	$880.00
36416		<1%	359	$682.38
81025		<1%	118	$515.28
81003		<1%	12	$14.46
0501F		0%	4,492	$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.