Mid-State Gastroenterology, PLLC
Mid-State Gastroenterology, PLLC was paid $101K by Medicaid between Jan 2018 and Aug 2021, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoMID-STATE GASTROENTEROLOGY, PLLC
MURFREESBORO, TN 37130
MURFREESBORO, TN 37130
33aNPI1265554091assigned 04/04/2007
33bProvider typeSpecialist
28Total paid$101K
24GClaims21,621
24DCodes billed24
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#109 of 252
Median peer was paid$57K
This provider vs. median1.8×
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 | 13,042 | $55K | |
| 2019 | 8,358 | $41K | |
| 2020 | 194 | $4K | |
| 2021 | 27 | $600.04 |
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 | 29% | 864 | 653 | $29K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 777 | 635 | $21K |
| 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 | 16% | 278 | 213 | $16K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 15% | 185 | 140 | $16K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 14% | 420 | 372 | $14K |
| 88312 | 2.1% | 187 | 164 | $2K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.5% | 16 | 12 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 33 | 28 | $2K |
| 99442 | <1% | 15 | 12 | $102.55 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 2,141 | 1,661 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 668 | 524 | $0.00 |
| 1036F | 0% | 1,930 | 1,481 | $0.00 |
12 more codes
| 3017F | 0% | 1,051 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 735 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 942 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 1,208 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,190 | $0.00 |
| 4004F | 0% | 307 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 271 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,024 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 2,167 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 2,296 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 901 | $0.00 |
| G8506 | Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 15 | $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.
From NPPES
Who's on the registration
Authorized officialBURNETT, ROSALIND (PRACTICE MANAGER)