Middle Tennessee Surgical Specialists, LLC
Middle Tennessee Surgical Specialists, LLC was paid $366K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoMIDDLE TENNESSEE SURGICAL SPECIALISTS, LLC
COOKEVILLE, TN 38501
COOKEVILLE, TN 38501
33aNPI1134212640assigned 10/02/2006
33bProvider typeSpecialist
28Total paid$366K
24GClaims15,965
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#65 of 252
Median peer was paid$57K
This provider vs. median6.4×
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 | 1,849 | $36K | |
| 2019 | 2,168 | $48K | |
| 2020 | 2,404 | $51K | |
| 2021 | 2,419 | $46K | |
| 2022 | 2,346 | $63K | |
| 2023 | 2,772 | $69K | |
| 2024incomplete | 2,007 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 33% | 3,165 | 2,777 | $119K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 32% | 7,077 | 4,063 | $118K |
| 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% | 3,820 | 2,788 | $61K |
| 36466 | 4.7% | 52 | 31 | $17K | |
| 93970 | 4.7% | 205 | 181 | $17K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 254 | 234 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 1,029 | 731 | $7K |
| 43775 | 1.9% | 27 | 13 | $7K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 84 | 75 | $4K |
| 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 | <1% | 43 | 38 | $3K |
| 11045 | <1% | 130 | 90 | $948.35 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 25 | 25 | $583.23 |
2 more codes
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 officialCOPELAND, SCOTT (MEMBER)