Medicaid Provider Spending

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

EAST TENNESSEE SPINE AND ORTHOPAEDIC SPECIALISTS, PC

NPI: 1326336124 · MORRISTOWN, TN 37814 · Orthopaedic Surgery of the Spine Physician · NPI assigned 07/13/2011

$1.26M
Total Medicaid Paid
68,543
Total Claims
53,318
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGRIMALDI, NICHOLAS (DO AND OWNER)
NPI Enumeration Date07/13/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,805 $224K
2019 11,259 $227K
2020 9,569 $183K
2021 10,397 $190K
2022 9,691 $181K
2023 8,303 $136K
2024 6,519 $118K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,974 14,844 $386K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,883 8,205 $333K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,912 4,137 $210K
62323 1,136 788 $90K
20610 2,935 2,273 $68K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 8,703 6,537 $43K
72100 3,489 2,920 $42K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 517 415 $29K
80305 4,555 3,777 $13K
73562 1,014 817 $11K
20552 288 219 $6K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 55 46 $5K
S0020 Injection, bupivicaine hydrochloride, 30 ml 6,031 4,533 $5K
73630 501 380 $5K
L4360 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 34 26 $4K
73110 169 121 $2K
73610 174 135 $2K
73030 166 146 $1K
73522 86 63 $686.19
72050 38 27 $643.70
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 33 31 $471.61
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 30 25 $380.89
73130 31 24 $328.44
96138 55 39 $237.59
99024 3,734 2,790 $51.95