Mencio, Gregory

Mencio, Gregory was paid $136K by Medicaid between Jan 2018 and Dec 2020, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoMENCIO, GREGORY
NASHVILLE, TN 37232

33aNPI1205935632assigned 09/22/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$136K

24GClaims2,396

24DCodes billed4

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Tennessee

Rank by total paid#25 of 75

Median peer was paid$42K

This provider vs. median3.2×

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	963	$49K
2019	680	$38K
2020	753	$49K

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	52%	1,394	1,276	$71K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	41%	683	636	$56K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	6.2%	301	266	$9K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	18	16	$838.52

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.