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

Seifert, Phillip

Seifert, Phillip was paid $279K by Medicaid between Jan 2018 and Nov 2020, across 44 billing codes. Its largest line is H2010, Comprehensive medication services, per 15 minutes — 57% of everything it billed.

33Billing provider infoSEIFERT, PHILLIP
KNOXVILLE, TN 37917
33aNPI1306885454assigned 06/05/2006
28Total paid$279K
24GClaims8,326
24DCodes billed44
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers

Next to other Internal Medicine Physician providers in Tennessee

Rank by total paid#91 of 581
Median peer was paid$15K
This provider vs. median18×

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$10K$20K$30K2018201920202021202220232024
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
2018711$20K
20191,943$59K
20205,672$200K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2010 Comprehensive medication services, per 15 minutes 57% 1,321 588 $159K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 18% 863 795 $49K
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 6.5% 1,204 616 $18K
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) 4.8% 88 57 $13K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 3.9% 957 604 $11K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2.1% 851 415 $6K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 2.1% 117 102 $6K
99408 1.9% 270 124 $5K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.3% 264 155 $4K
99406 1.3% 863 452 $4K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity <1% 70 62 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 474 440 $1K
32 more codes
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes <1% 347 $407.32
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 18 $125.19
93042 <1% 118 $103.26
99490 Ccm add 20min <1% 74 $41.66
80334 <1% 14 $40.00
80349 <1% 14 $7.22
80350 <1% 14 $7.22
80354 <1% 14 $7.22
71045 Radiologic examination, chest; single view <1% 14 $6.91
80366 <1% 14 $6.37
80359 <1% 14 $6.26
80355 <1% 14 $5.31
80358 0% 14 $0.00
80363 0% 14 $0.00
80353 0% 14 $0.00
80367 0% 14 $0.00
80371 0% 16 $0.00
80368 0% 14 $0.00
80345 0% 14 $0.00
80325 0% 14 $0.00
80323 0% 14 $0.00
80348 0% 40 $0.00
80356 0% 14 $0.00
80361 0% 14 $0.00
80369 0% 14 $0.00
80365 0% 14 $0.00
80346 0% 14 $0.00
80337 0% 14 $0.00
80362 0% 21 $0.00
80372 0% 14 $0.00
83992 0% 14 $0.00
80373 0% 14 $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.