Physician
Tristar Joint Replacement Institute, LLC
Tristar Joint Replacement Institute, LLC was paid $16K by Medicaid between Apr 2018 and Oct 2024, across 9 billing codes. Its largest line is 73562, — 23% of everything it billed.
33Billing provider infoTRISTAR JOINT REPLACEMENT INSTITUTE, LLC
NASHVILLE, TN 37203
NASHVILLE, TN 37203
33aNPI1164834057assigned 05/27/2014
33bProvider typeOrthopaedic Surgery Physician
28Total paid$16K
24GClaims1,023
24DCodes billed9
24AFirst – last monthApr 2018 – Oct 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Tennessee
Rank by total paid#46 of 75
Median peer was paid$42K
This provider vs. median0.4×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official DUNCAN, GARY controls 14+ related entities in our dataset. Read more
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 | 58 | $907.19 | |
| 2019 | 108 | $3K | |
| 2021 | 44 | $934.69 | |
| 2022 | 123 | $2K | |
| 2023 | 422 | $5K | |
| 2024incomplete | 268 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 73562 | 23% | 351 | 265 | $4K | |
| 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 | 17% | 104 | 82 | $3K |
| 73564 | 16% | 133 | 104 | $2K | |
| 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 | 14% | 44 | 37 | $2K |
| 73502 | 13% | 130 | 110 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.6% | 83 | 67 | $1K |
| 77073 | 6.4% | 79 | 66 | $1K | |
| 72170 | 2.0% | 33 | 26 | $314.98 | |
| 99024 | 0% | 66 | 55 | $0.00 |
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 officialDUNCAN, GARY (VP)
| Provider | Location | Paid |
|---|---|---|
| ST Lucie Medical Specialists LLC | Port St Lucie, FL | $1.26M |
| Palm Beach General Surgery LLC | Loxahatchee, FL | $1.24M |
| Columbia Primary Care LLC | West Palm Beach, FL | $663K |
| Internal Medicine Associates of Southern Hills LLC | Nashville, TN | $281K |
| Lawnwood Healthcare Specialists LLC | Vero Beach, FL | $248K |
| Middle Tennessee Neurology LLC | Smyrna, TN | $172K |
| Greenview Primecare LLC | Franklin, KY | $171K |
| Tristar Medical Group - Centennial Primary Care, LLC | Nashville, TN | $160K |
| Southern Hills Neurology Consultants LLC | Nashville, TN | $29K |
| Hermitage Primary Care LLC | Hermitage, TN | $25K |
| Sterling Primary Care Associates LLC | Nashville, TN | $10K |
| Centennial Surgical Associates LLC | Nashville, TN | $9K |
| North Georgia Primary Care Group LLC | Ringgold, GA | $9K |
| Greenview Specialty Associates LLC | Bowling Green, KY | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.