Physician
Middle Tennessee Surgical Associates, PLLC
Middle Tennessee Surgical Associates, PLLC was paid $138K by Medicaid between Jan 2018 and May 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoMIDDLE TENNESSEE SURGICAL ASSOCIATES, PLLC
MANCHESTER, TN 37355
MANCHESTER, TN 37355
33aNPI1275827875assigned 06/01/2011
33bProvider typeSurgery Physician
28Total paid$138K
24GClaims4,267
24DCodes billed8
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Surgery Physician providers in Tennessee
Rank by total paid#14 of 87
Median peer was paid$9K
This provider vs. median15×
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 | 1,040 | $31K | |
| 2019 | 942 | $30K | |
| 2020 | 428 | $13K | |
| 2021 | 685 | $29K | |
| 2022 | 494 | $17K | |
| 2023 | 547 | $15K | |
| 2024incomplete | 131 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 2,440 | 2,137 | $53K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 36% | 834 | 679 | $50K |
| 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 | 14% | 540 | 475 | $20K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.4% | 223 | 197 | $9K |
| 99223 | Prolong inpt eval add15 m | 1.9% | 48 | 41 | $3K |
| 43450 | 1.3% | 119 | 107 | $2K | |
| 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 | 1.1% | 26 | 24 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.0% | 37 | 31 | $1K |
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 officialMCCULLOUGH, BELINDA (OFFICE MANAGER)