East Tennessee Brain & Spine Center, PC

East Tennessee Brain & Spine Center, PC was paid $46K by Medicaid between Jan 2018 and Jun 2018, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoEAST TENNESSEE BRAIN & SPINE CENTER, PC
JOHNSON CITY, TN 37604

33aNPI1366452914assigned 08/08/2006

33bProvider typeSurgical Physician Assistant

28Total paid$46K

24GClaims2,303

24DCodes billed10

24AFirst – last monthJan 2018 – Jun 2018

Compared with peers

Next to other Surgical Physician Assistant providers in Tennessee

Rank by total paid#6 of 15

Median peer was paid$40K

This provider vs. median1.1×

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	2,303	$46K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	33%	619	503	$15K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28%	762	628	$13K
62323		18%	116	78	$8K
95886		8.6%	88	71	$4K
95911		7.0%	50	40	$3K
80305		2.5%	385	312	$1K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1.7%	229	132	$755.96
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	1.5%	15	13	$686.81
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	19	12	$2.16
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	0%	20	13	$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 officialWILES, DAVID (PRESIDENT)