Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Morristown › NPI 1184610248
Physician

Healthstar Physicians, P.C.

Healthstar Physicians, P.C. was paid $28.05M by Medicaid between Jan 2018 and Dec 2024, across 344 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.

33Billing provider infoHEALTHSTAR PHYSICIANS, P.C.
MORRISTOWN, TN 37813
33aNPI1184610248assigned 09/23/2005
28Total paid$28.05M
24GClaims3,416,265
24DCodes billed344
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#2 of 754
Median peer was paid$34K
This provider vs. median831×

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$200K$400K$600K2018201920202021202220232024
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
2018216,087$3.66M
2019282,492$3.92M
2020448,740$3.65M
2021634,081$4.14M
2022622,708$4.07M
2023652,704$4.62M
2024incomplete559,453$4.00M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 236,931 188,360 $7.13M
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 24% 215,322 165,563 $6.73M
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 6.0% 1,237 1,106 $1.68M
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 2.1% 6,064 5,217 $589K
90460 Immunization administration through 18 years of age via any route, first or only component 2.1% 12,504 11,216 $588K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.9% 11,372 8,835 $535K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.9% 11,722 9,943 $522K
99244 Office or other outpatient consultation, moderate to high complexity 1.5% 3,475 3,241 $432K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.3% 13,413 11,340 $366K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.3% 43,181 23,500 $351K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.2% 34,494 29,518 $346K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.1% 4,005 3,733 $313K
332 more codes
99204 Doctor's office visit, new patient (more involved) 1.1% 5,771 $301K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.0% 28,864 $294K
95913 1.0% 1,880 $287K
95886 <1% 3,375 $254K
92557 <1% 11,573 $250K
99243 <1% 2,683 $246K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 53,669 $231K
95117 <1% 32,483 $228K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 2,953 $226K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 3,212 $215K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 10,738 $193K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 2,872 $179K
99245 <1% 1,095 $169K
11721 <1% 34,049 $168K
17110 <1% 3,669 $162K
92567 <1% 15,295 $156K
59025 Fetal non-stress test <1% 4,194 $147K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 5,851 $140K
11102 <1% 3,452 $138K
76830 Ultrasound, transvaginal <1% 2,094 $137K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 1,640 $131K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,981 $131K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 14,604 $128K
99205 Prolong outpt/office vis <1% 1,612 $114K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 523 $104K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 989 $98K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 5,876 $97K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,043 $88K
80061 Lipid panel <1% 23,567 $85K
99307 <1% 15,247 $84K
36415 Collection of venous blood by venipuncture <1% 72,154 $81K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 325 $80K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 811 $72K
99050 <1% 4,507 $72K
80050 General health panel <1% 4,570 $69K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 2,530 $69K
90834 Psychotherapy session, about 45 minutes <1% 1,285 $67K
93922 <1% 3,077 $67K
77080 <1% 3,562 $59K
95251 <1% 4,683 $59K
95923 <1% 987 $56K
84481 <1% 10,539 $55K
82607 <1% 11,707 $52K
99308 Subsequent nursing facility care, per day, straightforward <1% 9,044 $49K
73630 <1% 4,579 $47K
82728 <1% 9,705 $43K
73120 <1% 5,124 $43K
80053 Comprehensive metabolic panel <1% 29,816 $41K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 296 $40K
85652 <1% 13,123 $38K
83036 Hemoglobin; glycosylated (A1C) <1% 18,395 $37K
99173 <1% 6,384 $36K
20610 <1% 1,792 $34K
99304 <1% 3,078 $34K
L1820 Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 654 $34K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 645 $33K
95911 <1% 278 $33K
31575 <1% 1,109 $32K
12032 <1% 326 $32K
92551 <1% 3,753 $31K
81003 <1% 25,239 $31K
82565 <1% 5,678 $31K
93925 <1% 708 $30K
71046 Radiologic examination, chest; 2 views <1% 4,108 $30K
84439 <1% 12,568 $30K
0500F <1% 2,592 $30K
92587 <1% 891 $30K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,790 $29K
1160F <1% 370,616 $28K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 2,119 $28K
99497 <1% 2,641 $28K
81025 <1% 5,178 $27K
84443 Thyroid stimulating hormone (TSH) <1% 14,939 $26K
95910 <1% 287 $26K
82670 <1% 2,644 $25K
3008F <1% 319,449 $24K
11100 <1% 547 $24K
84520 <1% 5,714 $24K
83735 <1% 5,720 $24K
87807 <1% 2,353 $23K
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg <1% 719 $23K
83970 <1% 2,394 $23K
80051 <1% 3,255 $23K
84403 <1% 2,766 $22K
95816 <1% 183 $22K
82962 <1% 17,332 $22K
59426 <1% 45 $22K
1159F <1% 340,806 $22K
72200 <1% 2,317 $21K
76882 <1% 879 $21K
73560 <1% 2,214 $21K
11056 <1% 5,494 $20K
87428 <1% 381 $20K
92555 <1% 1,395 $19K
99242 <1% 269 $19K
99483 Prolong outpt/office vis <1% 237 $18K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 673 $18K
54150 <1% 110 $17K
99401 <1% 2,372 $17K
11103 <1% 383 $17K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 652 $16K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 129 $16K
0503F <1% 889 $16K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 3,027 $15K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 6,266 $15K
90791 Psychiatric diagnostic evaluation <1% 648 $15K
3074F <1% 228,889 $14K
96127 <1% 3,599 $14K
82947 <1% 3,032 $14K
76536 <1% 514 $14K
3078F <1% 210,246 $13K
96101 <1% 361 $13K
62323 <1% 190 $12K
59425 <1% 35 $12K
99442 <1% 1,241 $12K
90686 <1% 3,710 $12K
17000 <1% 1,697 $12K
95811 <1% 149 $11K
59410 <1% 14 $11K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 546 $11K
96132 <1% 326 $11K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 3,001 $11K
90674 <1% 1,355 $11K
A5500 For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe <1% 1,216 $11K
98929 <1% 204 $11K
36416 <1% 15,179 $10K
1126F <1% 91,875 $10K
86141 <1% 2,813 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 350 $10K
84466 <1% 3,124 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,043 $10K
G0444 Annual depression screening, 5 to 15 minutes <1% 4,083 $10K
11750 <1% 79 $9K
84146 <1% 1,607 $9K
81002 <1% 3,812 $9K
82550 <1% 2,316 $9K
96161 <1% 564 $9K
86160 <1% 2,032 $9K
J1000 Injection, depo-estradiol cypionate, up to 5 mg <1% 718 $8K
95250 <1% 455 $8K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 2,038 $8K
82043 <1% 5,596 $8K
95909 <1% 119 $8K
95024 <1% 85 $8K
1125F <1% 95,672 $8K
11755 <1% 670 $8K
92504 <1% 362 $8K
99490 Ccm add 20min <1% 4,009 $8K
11057 <1% 1,453 $8K
83540 <1% 3,834 $7K
90688 <1% 1,408 $7K
3079F <1% 80,036 $7K
80076 <1% 3,334 $7K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 3,561 $7K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 4,588 $7K
86431 <1% 3,713 $7K
A5514 For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each <1% 352 $6K
64615 <1% 60 $6K
90715 <1% 197 $6K
17003 <1% 864 $6K
69210 <1% 212 $6K
86140 <1% 3,931 $6K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 415 $5K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 678 $5K
83550 <1% 2,206 $5K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 7,088 $5K
82746 <1% 913 $5K
82533 <1% 903 $5K
94010 <1% 363 $5K
96160 <1% 453 $5K
64493 <1% 165 $5K
G0008 Administration of influenza virus vaccine <1% 3,587 $4K
L4360 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 49 $4K
64483 <1% 66 $4K
20550 <1% 150 $4K
A5512 For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each <1% 641 $4K
84550 <1% 2,876 $4K
59430 <1% 314 $4K
95115 <1% 872 $4K
96130 <1% 256 $4K
99441 <1% 549 $4K
82570 <1% 2,303 $3K
90756 <1% 862 $3K
80306 <1% 205 $3K
82950 <1% 667 $3K
90461 <1% 5,850 $3K
3077F <1% 30,936 $3K
93970 <1% 52 $3K
62321 <1% 30 $3K
99334 <1% 164 $3K
84144 <1% 183 $3K
83525 <1% 490 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 867 $3K
J1071 Injection, testosterone cypionate, 1 mg <1% 1,319 $3K
96138 <1% 344 $3K
73562 <1% 303 $3K
3075F <1% 31,779 $2K
90670 <1% 1,964 $2K
99385 <1% 35 $2K
72114 <1% 529 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 5,903 $2K
99402 <1% 49 $2K
99439 <1% 1,019 $2K
31231 <1% 17 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 2,590 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,659 $2K
0011A <1% 67 $2K
99406 <1% 641 $2K
82951 <1% 201 $2K
82310 <1% 384 $2K
17311 <1% 17 $2K
99459 <1% 105 $2K
84681 <1% 397 $2K
90837 Psychotherapy session, about an hour <1% 95 $2K
99305 <1% 104 $2K
90661 <1% 317 $1K
0012A <1% 52 $1K
76881 <1% 87 $1K
3080F <1% 8,364 $1K
95922 <1% 45 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 42 $1K
99443 <1% 103 $1K
80048 Basic metabolic panel (calcium, ionized) <1% 2,059 $1K
0031A <1% 49 $1K
11055 <1% 263 $1K
99358 Prolong nursin fac eval 15m <1% 21 $1K
96131 <1% 67 $1K
81001 <1% 1,465 $1K
85018 <1% 405 $1K
59200 <1% 19 $950.75
64494 <1% 91 $935.19
96136 <1% 127 $882.47
99324 <1% 73 $819.09
90656 <1% 311 $770.40
83655 <1% 74 $764.44
90653 <1% 112 $741.28
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) <1% 152 $717.08
11403 <1% 13 $690.05
99397 <1% 465 $686.62
90716 <1% 323 $659.56
95806 <1% 14 $651.84
90723 <1% 1,049 $649.26
J1030 Injection, methylprednisolone acetate, 40 mg <1% 297 $639.56
A5513 For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each <1% 52 $626.48
84100 <1% 571 $604.59
81000 <1% 786 $579.19
71250 <1% 24 $568.45
97597 <1% 101 $545.97
90651 <1% 111 $540.00
87220 <1% 195 $537.38
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months <1% 449 $505.24
99201 <1% 18 $492.69
J1040 Injection, methylprednisolone acetate, 80 mg <1% 62 $446.28
94060 <1% 15 $443.71
11101 <1% 16 $441.47
51798 <1% 102 $417.80
94729 <1% 15 $403.92
94726 <1% 15 $401.13
J1380 Injection, estradiol valerate, up to 10 mg <1% 83 $400.25
0134A <1% 34 $313.10
82652 <1% 17 $304.80
97760 <1% 23 $289.02
92552 <1% 13 $283.82
84432 <1% 17 $280.28
90707 <1% 300 $267.31
95976 <1% 21 $266.81
90671 <1% 339 $265.63
90677 <1% 133 $260.05
95249 <1% 26 $259.71
87210 <1% 66 $254.48
11720 <1% 72 $243.78
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 14 $236.62
J0585 Injection, onabotulinumtoxina, 1 unit <1% 50 $236.40
20611 <1% 24 $221.73
90680 <1% 670 $220.62
86800 <1% 16 $211.30
73610 <1% 32 $161.26
90672 <1% 131 $158.53
90658 <1% 15 $132.09
77067 Screening mammography, bilateral, including computer-aided detection <1% 14 $129.82
72052 <1% 24 $120.62
92228 <1% 23 $107.53
94760 <1% 785 $95.12
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) <1% 43 $90.00
90633 <1% 262 $87.66
90648 <1% 1,192 $65.52
90696 <1% 46 $57.98
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 18 $50.82
Q2039 Influenza virus vaccine, not otherwise specified <1% 20 $40.24
1170F <1% 3,186 $40.01
90647 <1% 657 $34.35
90660 <1% 15 $31.15
99499 <1% 17,812 $25.05
J1010 Injection, methylprednisolone acetate, 1 mg <1% 19 $23.77
J2010 Injection, lincomycin hcl, up to 300 mg <1% 18 $21.98
0502F <1% 32,764 $20.00
80305 <1% 14 $17.96
99000 <1% 7,070 $11.84
3044F <1% 6,493 $10.05
3046F <1% 932 $10.00
99072 <1% 504 $4.29
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 14 $1.41
3288F <1% 3,631 $0.04
1036F <1% 57,098 $0.03
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg <1% 5,847 $0.03
3061F <1% 2,415 $0.02
4040F <1% 6,720 $0.01
1158F <1% 1,462 $0.01
3754F 0% 571 $0.00
99024 0% 4,903 $0.00
3060F 0% 540 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 831 $0.00
0501F 0% 1,266 $0.00
97010 0% 234 $0.00
3294F 0% 240 $0.00
3292F 0% 1,092 $0.00
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) 0% 116 $0.00
90694 0% 45 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 0% 336 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 125 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 194 $0.00
3052F 0% 240 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 5,472 $0.00
4004F 0% 6,748 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 170 $0.00
90685 0% 80 $0.00
3051F 0% 415 $0.00
90700 0% 13 $0.00
90734 0% 71 $0.00
3045F 0% 143 $0.00
90687 0% 31 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 0% 33 $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 officialBRABSON, ODESSA (CHIEF EXECUTIVE OFFICER)