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

Elmer G. Pinzon

Elmer G. Pinzon was paid $11K by Medicaid between Jan 2018 and Mar 2022, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoELMER G. PINZON
KNOXVILLE, TN 37922
33aNPI1225214307assigned 01/18/2008
28Total paid$11K
24GClaims805
24DCodes billed4
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers

Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in Tennessee

Rank by total paid#6 of 9
Median peer was paid$213K
This provider vs. median0.1×

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$1.0K$1.5K2018201920202021202220232024
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
2018141$3K
2019303$4K
2020250$2K
202188$2K
202223$400.54
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 304 185 $6K
20553 27% 164 105 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 15% 320 182 $2K
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 6.0% 17 12 $650.16

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 officialPINZON, ELMER (OWNER)