Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UPPER CUMBERLAND ORTHOPEDIC SURGERY, PC

NPI: 1184610859 · COOKEVILLE, TN 38501 · Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI assigned 09/27/2005

$870K
Total Medicaid Paid
37,862
Total Claims
25,034
Beneficiaries
25
Codes Billed
2018-01
First Month
2022-07
Last Month

Provider Details

Authorized OfficialEASTERLY, PAULA (MANAGER)
NPI Enumeration Date09/27/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,147 $104K
2019 6,137 $175K
2020 8,658 $211K
2021 11,543 $232K
2022 7,377 $147K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,082 4,710 $220K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,269 7,236 $179K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,754 2,483 $147K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,990 2,635 $102K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 6,459 1,939 $68K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 681 641 $45K
20610 1,182 928 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,131 942 $20K
73630 1,307 1,075 $14K
73610 947 800 $12K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 55 55 $11K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 40 33 $5K
73562 369 315 $4K
J1040 Injection, methylprednisolone acetate, 80 mg 637 585 $4K
73100 259 175 $3K
97530 Therapeutic activities, direct patient contact, each 15 minutes 187 65 $2K
73564 126 101 $2K
97161 57 53 $2K
73030 100 88 $1K
73130 90 68 $1K
95886 24 13 $716.28
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 16 14 $637.00
73502 54 53 $530.83
73070 30 13 $198.31
73560 16 14 $137.80