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

Caldwell, Joe

Caldwell, Joe was paid $172K by Medicaid between Jan 2018 and Nov 2020, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 36% of everything it billed.

33Billing provider infoCALDWELL, JOE
NASHVILLE, TN 37207
33aNPI1275594053assigned 03/31/2006
28Total paid$172K
24GClaims3,440
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers

Next to other Emergency Medicine Physician providers in Tennessee

Rank by total paid#72 of 332
Median peer was paid$56K
This provider vs. median3.1×

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$5.0K$10K$15K2018201920202021202220232024
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
20181,652$77K
20191,077$56K
2020711$39K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 36% 849 776 $61K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 35% 1,082 1,015 $60K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 29% 1,316 1,254 $50K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 193 182 $563.37

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.