Physician
Anesthesiology & Pain Management Consultants INC
Anesthesiology & Pain Management Consultants INC was paid $88K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 83% of everything it billed.
33Billing provider infoANESTHESIOLOGY & PAIN MANAGEMENT CONSULTANTS INC
KNOXVILLE, TN 37918
KNOXVILLE, TN 37918
33aNPI1376831222assigned 07/13/2011
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$88K
24GClaims26,982
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in Tennessee
Rank by total paid#12 of 26
Median peer was paid$38K
This provider vs. median2.3×
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 | 3,275 | $14K | |
| 2019 | 3,367 | $15K | |
| 2020 | 3,605 | $13K | |
| 2021 | 5,601 | $11K | |
| 2022 | 4,904 | $14K | |
| 2023 | 4,275 | $13K | |
| 2024incomplete | 1,955 | $7K |
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 | 83% | 15,631 | 13,038 | $73K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 17% | 10,273 | 8,259 | $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 | <1% | 226 | 125 | $124.30 |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) | <1% | 18 | 15 | $56.68 |
| 96101 | <1% | 30 | 28 | $29.61 | |
| 96127 | <1% | 114 | 101 | $0.44 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 384 | 205 | $0.06 |
| 36416 | 0% | 17 | 17 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 18 | 18 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 43 | 40 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 14 | 14 | $0.00 |
| 1123F | 0% | 12 | 12 | $0.00 |
9 more codes
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 14 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 30 | $0.00 |
| 0518F | 0% | 29 | $0.00 | |
| 1124F | 0% | 12 | $0.00 | |
| 86328 | 0% | 17 | $0.00 | |
| G9584 | Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy | 0% | 30 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 26 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 30 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 14 | $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 officialHAGGERTY, PHILLIP (MEDICAL DIRECTOR)