Tennessee River Physicians, PLLC
Tennessee River Physicians, PLLC was paid $3.87M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99285, emergency room visit (most serious) — 56% of everything it billed.
CHATTANOOGA, TN 37403
Next to other Emergency Medicine Physician providers in Tennessee
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 12,722 | $575K | |
| 2019 | 13,011 | $645K | |
| 2020 | 10,073 | $526K | |
| 2021 | 10,752 | $612K | |
| 2022 | 11,398 | $600K | |
| 2023 | 13,020 | $612K | |
| 2024incomplete | 5,610 | $303K |
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 | 56% | 36,044 | 29,461 | $2.17M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 37% | 25,242 | 20,999 | $1.42M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 4.1% | 4,950 | 4,224 | $157K |
| 59025 | Fetal non-stress test | 3.3% | 8,805 | 6,556 | $127K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 159 | 134 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 79 | 70 | $2K |
| 99053 | 0% | 1,307 | 1,170 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.