Physician
Orthotennessee, PC
Orthotennessee, PC was paid $212K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoORTHOTENNESSEE, PC
KNOXVILLE, TN 37920
KNOXVILLE, TN 37920
33aNPI1134210933assigned 09/27/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$212K
24GClaims8,154
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Tennessee
Rank by total paid#19 of 75
Median peer was paid$42K
This provider vs. median5.0×
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 | 819 | $22K | |
| 2019 | 824 | $20K | |
| 2020 | 768 | $20K | |
| 2021 | 1,509 | $35K | |
| 2022 | 1,360 | $35K | |
| 2023 | 1,532 | $42K | |
| 2024incomplete | 1,342 | $38K |
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 | 68% | 5,106 | 4,297 | $145K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.4% | 393 | 344 | $20K |
| 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 | 4.3% | 219 | 169 | $9K |
| 20610 | 2.8% | 246 | 194 | $6K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.3% | 167 | 155 | $5K |
| 73130 | 2.2% | 352 | 231 | $5K | |
| 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 | 2.2% | 100 | 78 | $5K |
| 73630 | 2.0% | 329 | 240 | $4K | |
| 73564 | 1.2% | 148 | 107 | $2K | |
| 73610 | 1.2% | 146 | 119 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 452 | 387 | $2K |
| 73502 | <1% | 71 | 65 | $2K |
8 more codes
| 73030 | <1% | 152 | $2K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 116 | $1K |
| 73110 | <1% | 56 | $870.91 | |
| 99221 | <1% | 27 | $719.67 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 35 | $516.90 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $344.93 |
| 99283 | Emergency room visit (moderate) | <1% | 13 | $221.99 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | $135.04 |
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 officialPEARSON, PIERCE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Orthotennessee, PC | Knoxville, TN | $7.19M |
| Orthotennessee, PC | Knoxville, TN | $681K |
| Orthotennessee, PC | Oak Ridge, TN | $479K |
| Orthotennessee, PC | Maryville, TN | $300K |
| Knoxville Orthopaedic Surgery Center LLC | Knoxville, TN | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.