Diabetes & Geriatrics Specialist LLC

Diabetes & Geriatrics Specialist LLC was paid $252K by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.

33Billing provider infoDIABETES & GERIATRICS SPECIALIST LLC
COOKEVILLE, TN 38501

33aNPI1235271420assigned 02/13/2007

33bProvider typeMedical Specialty Clinic/Center

28Total paid$252K

24GClaims17,783

24DCodes billed35

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Medical Specialty Clinic/Center providers in Tennessee

Rank by total paid#4 of 15

Median peer was paid$56K

This provider vs. median4.5×

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	2,421	$30K
2019	2,673	$41K
2020	2,167	$42K
2021	2,415	$47K
2022	2,554	$39K
2023	2,863	$33K
2024incomplete	2,690	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	61%	8,328	5,810	$153K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	28%	3,309	2,395	$72K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	5.0%	1,830	1,230	$13K
99497		1.2%	231	150	$3K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	138	103	$2K
90756		<1%	348	253	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	238	165	$2K
99205	Prolong outpt/office vis	<1%	19	15	$2K
99490	Ccm add 20min	<1%	437	340	$965.20
G0008	Administration of influenza virus vaccine	<1%	356	250	$681.23
80061	Lipid panel	<1%	91	79	$334.32
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	621	384	$280.22

23 more codes

85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	180	$211.59
84443	Thyroid stimulating hormone (TSH)	<1%	66	$182.78
80053	Comprehensive metabolic panel	<1%	101	$158.09
G0444	Annual depression screening, 5 to 15 minutes	<1%	86	$155.62
83036	Hemoglobin; glycosylated (A1C)	<1%	59	$131.41
84439		<1%	67	$118.67
83735		<1%	54	$104.96
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	17	$100.26
84550		<1%	88	$98.78
84100		<1%	91	$91.57
99491	Ccm add 20min	<1%	30	$86.74
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	21	$84.70
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	331	$78.65
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	68	$72.21
82607		<1%	15	$51.06
3074F		<1%	187	$50.00
36415	Collection of venous blood by venipuncture	<1%	78	$48.65
82728		<1%	15	$46.13
3078F		<1%	159	$40.00
83550		<1%	15	$29.60
83540		<1%	15	$21.94
J0690	Injection, cefazolin sodium, 500 mg	<1%	36	$13.46
3079F		<1%	58	$10.02

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 officialSHARMA, PARDEEP (OWNER)