Physician
Amg-Southern Tennessee LLC
Amg-Southern Tennessee LLC was paid $1.59M by Medicaid between Jan 2018 and May 2021, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoAMG-SOUTHERN TENNESSEE LLC
WINCHESTER, TN 37398
WINCHESTER, TN 37398
33aNPI1336294222assigned 01/24/2007
33bProvider typePediatric Cardiology Physician
28Total paid$1.59M
24GClaims52,963
24DCodes billed49
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Pediatric Cardiology Physician providers in Tennessee
Rank by total paid#5 of 24
Median peer was paid$149K
This provider vs. median11×
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 | 20,241 | $631K | |
| 2019 | 23,139 | $703K | |
| 2020 | 8,195 | $208K | |
| 2021 | 1,388 | $49K |
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 | 38% | 14,207 | 11,053 | $601K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 4,273 | 3,760 | $181K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 2,852 | 2,469 | $179K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.9% | 2,170 | 1,963 | $158K |
| 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 | 7.5% | 1,890 | 1,603 | $120K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.4% | 2,603 | 2,325 | $86K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.8% | 5,299 | 4,493 | $60K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.7% | 3,519 | 1,638 | $43K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 478 | 425 | $36K |
| 99460 | 1.3% | 390 | 358 | $21K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.2% | 367 | 336 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 204 | 175 | $17K |
37 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 502 | $14K |
| 99177 | <1% | 1,094 | $8K | |
| 87807 | <1% | 680 | $7K | |
| 92558 | <1% | 1,458 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 495 | $6K |
| 96160 | <1% | 392 | $5K | |
| 54150 | <1% | 25 | $4K | |
| 3008F | <1% | 365 | $3K | |
| 96127 | <1% | 486 | $2K | |
| 81002 | <1% | 865 | $2K | |
| 90670 | <1% | 1,904 | $2K | |
| 99442 | <1% | 80 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 79 | $1K |
| 90698 | <1% | 1,074 | $999.00 | |
| 92588 | <1% | 14 | $699.14 | |
| 90680 | <1% | 829 | $551.55 | |
| 90473 | <1% | 48 | $472.88 | |
| 83655 | <1% | 19 | $311.58 | |
| 90672 | <1% | 55 | $305.90 | |
| 90734 | <1% | 33 | $296.00 | |
| 90716 | <1% | 267 | $260.00 | |
| 81003 | <1% | 121 | $230.15 | |
| 90633 | <1% | 394 | $214.60 | |
| 94664 | <1% | 13 | $203.56 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $180.21 |
| 90707 | <1% | 182 | $174.00 | |
| 90686 | <1% | 1,161 | $155.75 | |
| 85018 | <1% | 37 | $98.02 | |
| 90744 | <1% | 501 | $94.35 | |
| 36416 | <1% | 19 | $60.30 | |
| 94760 | <1% | 37 | $28.69 | |
| 90648 | <1% | 610 | $21.84 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 75 | $11.27 |
| 90685 | 0% | 301 | $0.00 | |
| 90681 | 0% | 58 | $0.00 | |
| 90723 | 0% | 407 | $0.00 | |
| 90651 | 0% | 19 | $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.
From NPPES
Who's on the registration
Authorized officialGRACEY, BILL (COO)
Parent organizationAMG-SOUTHERN TENNESSEE LLC
| Provider | Location | Paid |
|---|---|---|
| Amg-Southern Tennessee LLC | Winchester, TN | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.