Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Knoxville › NPI 1265666747
Physician

East Tennessee Pediatric Cardiology, P.C.

East Tennessee Pediatric Cardiology, P.C. was paid $2.48M by Medicaid between Jan 2018 and Aug 2023, across 13 billing codes. Its largest line is 93303, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study — 24% of everything it billed.

33Billing provider infoEAST TENNESSEE PEDIATRIC CARDIOLOGY, P.C.
KNOXVILLE, TN 37916
33aNPI1265666747assigned 05/12/2009
28Total paid$2.48M
24GClaims37,508
24DCodes billed13
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers

Next to other Pediatric Cardiology Physician providers in Tennessee

Rank by total paid#4 of 24
Median peer was paid$149K
This provider vs. median17×

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$20K$40K$60K2018201920202021202220232024
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
20186,203$427K
20196,899$468K
20206,169$409K
20216,871$418K
20227,018$465K
20234,348$292K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 24% 3,690 3,115 $601K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 21% 3,334 2,934 $512K
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 13% 4,741 4,195 $330K
93325 12% 4,911 4,059 $308K
93320 7.8% 3,701 3,118 $192K
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 6.7% 1,409 1,270 $166K
99244 Office or other outpatient consultation, moderate to high complexity 6.6% 1,256 1,124 $163K
93000 6.0% 8,111 7,169 $150K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.9% 6,167 5,063 $48K
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% 72 68 $6K
93225 <1% 57 54 $2K
93227 <1% 42 40 $1K
1 more codes
99213 Doctor's office visit, returning patient (routine) <1% 17 $800.77

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 officialBREMER, YVONNE (MEDICAL DOCOTOR)