East Tennessee Surgical Group, P.C.
East Tennessee Surgical Group, P.C. was paid $314K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 48% of everything it billed.
33Billing provider infoEAST TENNESSEE SURGICAL GROUP, P.C.
KNOXVILLE, TN 37916
KNOXVILLE, TN 37916
33aNPI1164589628assigned 01/03/2007
33bProvider typeSpecialist
28Total paid$314K
24GClaims20,234
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#66 of 252
Median peer was paid$57K
This provider vs. median5.5×
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 | 3,034 | $45K | |
| 2019 | 2,436 | $37K | |
| 2020 | 3,039 | $45K | |
| 2021 | 4,362 | $64K | |
| 2022 | 3,192 | $55K | |
| 2023 | 2,668 | $45K | |
| 2024incomplete | 1,503 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 48% | 9,561 | 2,768 | $151K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 14% | 3,196 | 1,669 | $44K |
| 11043 | 14% | 1,139 | 556 | $43K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 2,963 | 1,863 | $35K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 6.9% | 1,963 | 755 | $22K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.9% | 1,308 | 726 | $16K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 55 | 38 | $1K |
| 11046 | <1% | 24 | 14 | $1K | |
| 11045 | <1% | 25 | 15 | $416.70 |
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 officialSCHUCHMANN, GEORGE (GENERAL SURGEON)