Middle Tennessee Emergency Physicians PC

Middle Tennessee Emergency Physicians PC was paid $19.35M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99285, emergency room visit (most serious) — 48% of everything it billed.

33Billing provider infoMIDDLE TENNESSEE EMERGENCY PHYSICIANS PC
NASHVILLE, TN 37236

33aNPI1194758979assigned 07/08/2006

33bProvider typeEmergency Medicine Physician

28Total paid$19.35M

24GClaims466,206

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Tennessee

Rank by total paid#2 of 332

Median peer was paid$56K

This provider vs. median344×

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	39,717	$1.46M
2019	75,805	$2.98M
2020	58,761	$2.30M
2021	67,054	$2.83M
2022	71,543	$3.06M
2023	78,816	$3.50M
2024incomplete	74,510	$3.22M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	48%	153,853	134,001	$9.35M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	42%	154,589	139,446	$8.05M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	7.1%	37,433	33,900	$1.38M
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	1.9%	110,557	90,939	$366K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	1.1%	2,916	2,426	$203K
93042		<1%	2,126	1,866	$5K
99223	Prolong inpt eval add15 m	<1%	27	26	$3K
99406		<1%	328	281	$2K
G9745	Documented reason for not screening or recommending a follow-up for high blood pressure	0%	13	13	$0.00
G9744	Patient not eligible due to active diagnosis of hypertension	0%	4,364	3,698	$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 officialNIX, JESSICA (ADMINISTRATOR)