Middle Tennessee Pulmonary Associates, LLC
Middle Tennessee Pulmonary Associates, LLC was paid $1.10M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 42% of everything it billed.
HERMITAGE, TN 37076
Next to other Medical Physician Assistant providers in Tennessee
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,054 | $166K | |
| 2019 | 5,839 | $165K | |
| 2020 | 5,164 | $166K | |
| 2021 | 5,166 | $192K | |
| 2022 | 5,146 | $177K | |
| 2023 | 5,044 | $170K | |
| 2024incomplete | 1,755 | $66K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 42% | 7,359 | 2,723 | $467K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 35% | 15,160 | 6,658 | $384K |
| 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 | 8.4% | 3,760 | 3,238 | $93K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.5% | 4,795 | 1,900 | $83K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.5% | 1,637 | 1,362 | $61K |
| 99223 | Prolong inpt eval add15 m | <1% | 95 | 79 | $6K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 80 | 70 | $1K |
| 99406 | <1% | 409 | 347 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 48 | 43 | $1K |
| 94060 | <1% | 62 | 57 | $1K | |
| 94729 | <1% | 63 | 58 | $1K | |
| 94726 | <1% | 63 | 58 | $1K |
9 more codes
| 99292 | <1% | 41 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $950.45 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 28 | $516.31 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $183.03 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 13 | $145.64 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 29 | $8.36 |
| 1123F | 0% | 382 | $0.00 | |
| 1124F | 0% | 67 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 49 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Rodriguez Torrecilla LLC | Miami, FL | $2.13M |
| JMH Internal Medicine Specialist LLC | Palmetto Bay, FL | $30K |
| DR Orlando Rodriguez MD LLC | Middleburg Heights, OH | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.