East Tennessee Spine and Orthopaedic Specialists, PC

East Tennessee Spine and Orthopaedic Specialists, PC was paid $1.26M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoEAST TENNESSEE SPINE AND ORTHOPAEDIC SPECIALISTS, PC
MORRISTOWN, TN 37814

33aNPI1326336124assigned 07/13/2011

33bProvider typeOrthopaedic Surgery of the Spine Physician

28Total paid$1.26M

24GClaims68,543

24DCodes billed25

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Orthopaedic Surgery of the Spine Physician providers in Tennessee

Rank by total paid#1 of 5

Median peer was paid$3K

This provider vs. median367×

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

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	31%	18,974	14,844	$386K
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	26%	10,883	8,205	$333K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	17%	4,912	4,137	$210K
62323		7.2%	1,136	788	$90K
20610		5.4%	2,935	2,273	$68K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3.4%	8,703	6,537	$43K
72100		3.3%	3,489	2,920	$42K
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	2.3%	517	415	$29K
80305		1.0%	4,555	3,777	$13K
73562		<1%	1,014	817	$11K
20552		<1%	288	219	$6K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	<1%	55	46	$5K

13 more codes

S0020	Injection, bupivicaine hydrochloride, 30 ml	<1%	6,031	$5K
73630		<1%	501	$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	<1%	34	$4K
73110		<1%	169	$2K
73610		<1%	174	$2K
73030		<1%	166	$1K
73522		<1%	86	$686.19
72050		<1%	38	$643.70
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	33	$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	<1%	30	$380.89
73130		<1%	31	$328.44
96138		<1%	55	$237.59
99024		<1%	3,734	$51.95

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 officialGRIMALDI, NICHOLAS (DO AND OWNER)