Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ORTHOTENNESSEE, PC

NPI: 1134210933 · KNOXVILLE, TN 37920 · Orthopaedic Surgery Physician · NPI assigned 09/27/2006

$212K
Total Medicaid Paid
8,154
Total Claims
6,738
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPEARSON, PIERCE (CEO)
NPI Enumeration Date09/27/2006

Related Entities

Other providers sharing the same authorized official: PEARSON, PIERCE

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 819 $22K
2019 824 $20K
2020 768 $20K
2021 1,509 $35K
2022 1,360 $35K
2023 1,532 $42K
2024 1,342 $38K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,106 4,297 $145K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 393 344 $20K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 219 169 $9K
20610 246 194 $6K
99232 Subsequent hospital care, per day, moderate complexity 167 155 $5K
73130 352 231 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 100 78 $5K
73630 329 240 $4K
73564 148 107 $2K
73610 146 119 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 452 387 $2K
73502 71 65 $2K
73030 152 121 $2K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 116 102 $1K
73110 56 43 $870.91
99221 27 26 $719.67
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 35 24 $516.90
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 12 $344.93
99283 Emergency department visit for the evaluation and management, moderate severity 13 12 $221.99
99222 Initial hospital care, per day, moderate complexity 13 12 $135.04