Physician
Appalachian Orthopaedic Associates P C
Appalachian Orthopaedic Associates P C was paid $325K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoAPPALACHIAN ORTHOPAEDIC ASSOCIATES P C
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
33aNPI1336175462assigned 06/23/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$325K
24GClaims18,942
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Tennessee
Rank by total paid#16 of 75
Median peer was paid$42K
This provider vs. median7.7×
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 | |
|---|---|---|---|
| 2018 | 3,240 | $47K | |
| 2019 | 3,589 | $67K | |
| 2020 | 2,246 | $33K | |
| 2021 | 2,274 | $34K | |
| 2022 | 2,105 | $33K | |
| 2023 | 3,114 | $58K | |
| 2024incomplete | 2,374 | $53K |
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 | 39% | 5,651 | 4,401 | $128K |
| 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 | 35% | 4,414 | 3,406 | $113K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 661 | 567 | $34K |
| 20610 | 9.3% | 2,847 | 1,712 | $30K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.0% | 1,221 | 972 | $10K |
| 20611 | 1.3% | 160 | 123 | $4K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 1,614 | 1,236 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 23 | 12 | $761.50 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 263 | 197 | $747.91 |
| 73030 | <1% | 94 | 51 | $608.74 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | 13 | $520.98 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 160 | 112 | $358.41 |
4 more codes
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 officialKEENEY, DARYN (DOO)
| Provider | Location | Paid |
|---|---|---|
| Appalachian Orthopaedic Associates P C | Bristol, TN | $534K |
| Appalachian Orthopaedic Associates P C | Norton, VA | $181K |
| Appalachian Orthopaedic Associates P C | Bristol, TN | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.