Upper Cumberland Orthopedic Surgery, PC

Upper Cumberland Orthopedic Surgery, PC was paid $870K by Medicaid between Jan 2018 and Jul 2022, across 25 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 25% of everything it billed.

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	25%	5,082	4,710	$220K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	8,269	7,236	$179K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	17%	7,754	2,483	$147K
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	12%	2,990	2,635	$102K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	7.9%	6,459	1,939	$68K
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	5.2%	681	641	$45K
20610		2.7%	1,182	928	$23K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.2%	1,131	942	$20K
73630		1.7%	1,307	1,075	$14K
73610		1.4%	947	800	$12K
73721	Magnetic resonance imaging, any joint of lower extremity; without contrast material	1.3%	55	55	$11K
72148	Magnetic resonance imaging, lumbar spine; without contrast material	<1%	40	33	$5K

13 more codes

73562		<1%	369	$4K
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	637	$4K
73100		<1%	259	$3K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	187	$2K
73564		<1%	126	$2K
97161		<1%	57	$2K
73030		<1%	100	$1K
73130		<1%	90	$1K
95886		<1%	24	$716.28
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	16	$637.00
73502		<1%	54	$530.83
73070		<1%	30	$198.31
73560		<1%	16	$137.80

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 officialEASTERLY, PAULA (MANAGER)