Seven Springs Orthopaedics, PC
Seven Springs Orthopaedics, PC was paid $2.12M by Medicaid between Oct 2018 and Dec 2022, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoSEVEN SPRINGS ORTHOPAEDICS, PC
BRENTWOOD, TN 37027
BRENTWOOD, TN 37027
33aNPI1194210005assigned 06/25/2018
33bProvider typePhysical Therapist
28Total paid$2.12M
24GClaims86,652
24DCodes billed44
24AFirst – last monthOct 2018 – Dec 2022
Compared with peers
Next to other Physical Therapist providers in Tennessee
Rank by total paid#6 of 136
Median peer was paid$28K
This provider vs. median75×
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 | 1,919 | $55K | |
| 2019 | 16,396 | $486K | |
| 2020 | 13,023 | $340K | |
| 2021 | 37,712 | $858K | |
| 2022 | 17,602 | $378K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 19,889 | 15,131 | $555K |
| 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 | 13% | 3,864 | 3,385 | $274K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 12% | 13,955 | 4,048 | $254K |
| 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 | 11% | 5,337 | 4,235 | $223K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 10% | 11,792 | 3,620 | $214K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.5% | 3,893 | 3,465 | $181K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 6.1% | 9,591 | 3,104 | $130K |
| 20611 | 4.4% | 2,684 | 1,684 | $94K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 4.2% | 5,220 | 1,646 | $90K |
| 97161 | 1.7% | 871 | 759 | $37K | |
| 20610 | <1% | 609 | 365 | $15K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 456 | 356 | $8K |
32 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 821 | $6K |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 52 | $6K |
| 73562 | <1% | 341 | $5K | |
| 73110 | <1% | 287 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 78 | $3K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 444 | $2K |
| 73610 | <1% | 146 | $2K | |
| 73630 | <1% | 151 | $2K | |
| 73130 | <1% | 134 | $2K | |
| 73560 | <1% | 139 | $2K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 4,030 | $1K |
| 76942 | <1% | 52 | $1K | |
| 72100 | <1% | 63 | $911.65 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 644 | $870.57 |
| 73030 | <1% | 76 | $760.99 | |
| 72110 | <1% | 34 | $738.95 | |
| L1812 | Knee orthosis, elastic with joints, prefabricated, off-the-shelf | <1% | 20 | $728.86 |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 41 | $574.48 |
| 97014 | <1% | 86 | $443.87 | |
| L2795 | Addition to lower extremity orthosis, knee control, full kneecap | <1% | 20 | $435.61 |
| 73564 | <1% | 37 | $402.07 | |
| 97164 | <1% | 13 | $359.55 | |
| 73140 | <1% | 13 | $198.50 | |
| 73080 | <1% | 15 | $172.49 | |
| 97032 | <1% | 29 | $103.32 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 20 | $45.35 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 30 | $40.84 |
| 1160F | 0% | 14 | $0.00 | |
| 1159F | 0% | 14 | $0.00 | |
| 99024 | 0% | 392 | $0.00 | |
| 97010 | 0% | 241 | $0.00 | |
| 3008F | 0% | 14 | $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 officialTULLOCH, MARK (SECRETARY)