Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Knoxville Gastrointestinal Specialists, PC

Knoxville Gastrointestinal Specialists, PC was paid $912.81 by Medicaid between May 2018 and Nov 2019, across 3 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 62% of everything it billed.

33Billing provider infoKNOXVILLE GASTROINTESTINAL SPECIALISTS, PC
KNOXVILLE, TN 37916
33aNPI1194910919assigned 09/14/2007
28Total paid$912.81
24GClaims55
24DCodes billed3
24AFirst – last monthMay 2018 – Nov 2019
Compared with peers

Next to other Gastroenterology Physician providers in Tennessee

Rank by total paid#42 of 50
Median peer was paid$19K
This provider vs. median0.0×

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$500$1.0K2018201920202021202220232024
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
201819$47.13
201936$865.68
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 62% 13 12 $568.08
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 33% 23 13 $297.60
99231 Subsequent hospital care, per day, straightforward or low complexity 5.2% 19 14 $47.13

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 officialBREEDEN, KRISTI (OFFICE MGR)