Mid Tennessee Neurology Associates,plc
Mid Tennessee Neurology Associates,plc was paid $285K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoMID TENNESSEE NEUROLOGY ASSOCIATES,PLC
HERMITAGE, TN 37076
HERMITAGE, TN 37076
33aNPI1235336975assigned 06/27/2007
33bProvider typeSpecialist
28Total paid$285K
24GClaims7,749
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#71 of 252
Median peer was paid$57K
This provider vs. median5.0×
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
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 | 1,232 | $46K | |
| 2019 | 766 | $16K | |
| 2020 | 326 | $10K | |
| 2021 | 2,108 | $93K | |
| 2022 | 1,246 | $50K | |
| 2023 | 1,440 | $48K | |
| 2024incomplete | 631 | $23K |
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 | 39% | 3,822 | 3,323 | $113K |
| 95886 | 17% | 651 | 545 | $49K | |
| 95910 | 16% | 612 | 512 | $46K | |
| 95887 | 7.5% | 641 | 540 | $21K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 844 | 702 | $16K |
| 99223 | Prolong inpt eval add15 m | 5.3% | 336 | 284 | $15K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.3% | 365 | 147 | $9K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.3% | 120 | 101 | $6K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.4% | 162 | 104 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 52 | 51 | $3K |
| 95819 | <1% | 131 | 53 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 13 | 12 | $871.99 |
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 officialZHOU, SHAN-REN (OWNER)