Southern Tier Surgical PLLC

Southern Tier Surgical PLLC was paid $32K by Medicaid between Oct 2019 and Dec 2023, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoSOUTHERN TIER SURGICAL PLLC
JOHNSON CITY, NY 13790

33aNPI1316296205assigned 09/06/2012

33bProvider typeSurgery Physician

28Total paid$32K

24GClaims490

24DCodes billed4

24AFirst – last monthOct 2019 – Dec 2023

Compared with peers

Next to other Surgery Physician providers in New York

Rank by total paid#93 of 396

Median peer was paid$4K

This provider vs. median7.3×

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
2019	17	$974.46
2020	73	$5K
2021	74	$5K
2022	129	$9K
2023	197	$12K

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	75%	381	338	$24K
99221		16%	78	78	$5K
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	5.5%	17	17	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.4%	14	14	$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 officialTVETENSTRAND, CHRISTIAN (SURGEON)