Physician
Knoxville Hma Cardiology PPM, LLC
Knoxville Hma Cardiology PPM, LLC was paid $881K by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoKNOXVILLE HMA CARDIOLOGY PPM, LLC
KNOXVILLE, TN 37909
KNOXVILLE, TN 37909
33aNPI1275811713assigned 08/02/2011
33bProvider typeClinical Cardiac Electrophysiology Physician
28Total paid$881K
24GClaims121,715
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Cardiac Electrophysiology Physician providers in Tennessee
Rank by total paid#2 of 12
Median peer was paid$15K
This provider vs. median58×
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 | 12,371 | $124K | |
| 2019 | 14,998 | $168K | |
| 2020 | 11,081 | $130K | |
| 2021 | 27,324 | $159K | |
| 2022 | 19,172 | $93K | |
| 2023 | 20,937 | $115K | |
| 2024incomplete | 15,832 | $93K |
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 | 54% | 25,337 | 19,507 | $479K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 17% | 7,219 | 5,776 | $148K |
| 93000 | 9.2% | 15,971 | 12,241 | $81K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 4.5% | 16,113 | 11,067 | $40K |
| 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 | 2.4% | 365 | 290 | $21K |
| 93295 | 2.2% | 2,050 | 1,732 | $19K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.9% | 1,345 | 546 | $16K |
| 93297 | 1.3% | 2,950 | 2,200 | $12K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 702 | 565 | $10K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 1.1% | 421 | 300 | $10K |
| 93296 | <1% | 1,090 | 911 | $6K | |
| 93458 | <1% | 63 | 39 | $5K |
32 more codes
| 99205 | Prolong outpt/office vis | <1% | 87 | $5K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 159 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 109 | $4K |
| 93016 | <1% | 515 | $4K | |
| 93018 | <1% | 457 | $3K | |
| 99152 | <1% | 461 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 59 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 203 | $2K |
| 93294 | <1% | 209 | $1K | |
| 99406 | <1% | 197 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,764 | $1K |
| 93282 | <1% | 70 | $1K | |
| 93298 | <1% | 223 | $957.54 | |
| 99223 | Prolong inpt eval add15 m | <1% | 15 | $563.77 |
| 99221 | <1% | 40 | $503.46 | |
| 3078F | <1% | 4,829 | $382.48 | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 67 | $357.26 |
| 3074F | <1% | 3,836 | $283.08 | |
| 99443 | <1% | 18 | $249.04 | |
| 93307 | <1% | 27 | $212.94 | |
| 93015 | <1% | 44 | $86.40 | |
| 93280 | <1% | 17 | $67.52 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $53.68 |
| 3079F | <1% | 374 | $30.00 | |
| 3075F | <1% | 92 | $20.00 | |
| 3077F | <1% | 249 | $10.00 | |
| 3008F | <1% | 13,518 | $0.08 | |
| 1036F | <1% | 9,271 | $0.04 | |
| 1034F | 0% | 221 | $0.00 | |
| 1126F | 0% | 108 | $0.00 | |
| 1159F | 0% | 4,871 | $0.00 | |
| 1160F | 0% | 5,967 | $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 officialSWAW, MICHAEL (DIRECTOR; AUTHORIZED OFFICIAL)
Parent organizationCOMMUNITY HEALTH SYSTEMS
| Provider | Location | Paid |
|---|---|---|
| Bullhead City Clinic Corp | Laughlin, NV | $162K |
| Marion Physician Services LLC | Marion, SC | $119K |
| Brandon Physician Management LLC | Pearl, MS | $50K |
| Kay County Oklahoma Hospital Company LLC | Blackwell, OK | $20K |
| Martin Clinic Corp | Martin, TN | $8K |
| Shelbyville Hospital Company LLC | Shelbyville, TN | $5K |
| LA Porte Hospital Company LLC | La Porte, IN | $3K |
| Virtualhealthconnect LLC | Franklin, TN | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.