Physician
Southeastern Surgical Specialists
Southeastern Surgical Specialists was paid $7K by Medicaid between May 2023 and Aug 2024, across 2 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 95% of everything it billed.
33Billing provider infoSOUTHEASTERN SURGICAL SPECIALISTS
DAYTON, TN 37321
DAYTON, TN 37321
33aNPI1285335232assigned 03/16/2023
33bProvider typeSurgery Physician
28Total paid$7K
24GClaims106
24DCodes billed2
24AFirst – last monthMay 2023 – Aug 2024
Compared with peers
Next to other Surgery Physician providers in Tennessee
Rank by total paid#50 of 87
Median peer was paid$9K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2023 | 44 | $3K | |
| 2024incomplete | 62 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 95% | 91 | 65 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 15 | 12 | $347.74 |
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 officialSWAFFORD, CRAIG (OWNER)