Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MIDDLE TENNESSEE SURGICAL ASSOCIATES, PLLC

NPI: 1275827875 · MANCHESTER, TN 37355 · Surgery Physician · NPI assigned 06/01/2011

$138K
Total Medicaid Paid
4,267
Total Claims
3,691
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialMCCULLOUGH, BELINDA (OFFICE MANAGER)
NPI Enumeration Date06/01/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,040 $31K
2019 942 $30K
2020 428 $13K
2021 685 $29K
2022 494 $17K
2023 547 $15K
2024 131 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,440 2,137 $53K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 834 679 $50K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 540 475 $20K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 223 197 $9K
99223 Prolong inpt eval add15 m 48 41 $3K
43450 119 107 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 24 $1K
99215 Prolong outpt/office vis 37 31 $1K