Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pope, John

Pope, John was paid $241K by Medicaid between Jan 2018 and Nov 2020, across 6 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 31% of everything it billed.

33Billing provider infoPOPE, JOHN
NASHVILLE, TN 37232
33aNPI1164515193assigned 10/02/2006
33bProvider typeUrology Physician
28Total paid$241K
24GClaims2,733
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers

Next to other Urology Physician providers in Tennessee

Rank by total paid#5 of 53
Median peer was paid$12K
This provider vs. median21×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20181,030$82K
20191,010$85K
2020693$74K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 31% 776 739 $75K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 1,102 1,045 $62K
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 21% 350 325 $52K
14040 13% 72 67 $32K
76770 7.3% 420 385 $18K
54161 1.1% 13 13 $3K

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.