Smith, Sullivan

Smith, Sullivan was paid $54K by Medicaid between Jan 2018 and Aug 2020, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 59% of everything it billed.

33Billing provider infoSMITH, SULLIVAN
COOKEVILLE, TN 38501

33aNPI1356346605assigned 06/14/2005

33bProvider typeFamily Medicine Physician

28Total paid$54K

24GClaims1,188

24DCodes billed4

24AFirst – last monthJan 2018 – Aug 2020

Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#324 of 754

Median peer was paid$34K

This provider vs. median1.6×

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	539	$26K
2019	390	$16K
2020	259	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	59%	691	567	$32K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	33%	377	324	$18K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	4.9%	77	70	$3K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	3.7%	43	38	$2K

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.