The Surgical Clinic PLLC
The Surgical Clinic PLLC was paid $361K by Medicaid between Jan 2018 and Nov 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoTHE SURGICAL CLINIC PLLC
NASHVILLE, TN 37209
NASHVILLE, TN 37209
33aNPI1417983099assigned 06/24/2006
33bProvider typeFoot & Ankle Surgery Podiatrist
28Total paid$361K
24GClaims21,655
24DCodes billed37
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Foot & Ankle Surgery Podiatrist providers in Tennessee
Rank by total paid#3 of 66
Median peer was paid$21K
This provider vs. median17×
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 | 2,069 | $33K | |
| 2019 | 2,309 | $36K | |
| 2020 | 2,825 | $36K | |
| 2021 | 3,683 | $52K | |
| 2022 | 3,119 | $44K | |
| 2023 | 3,936 | $64K | |
| 2024incomplete | 3,714 | $96K |
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 | 35% | 9,482 | 7,641 | $126K |
| 99222 | Initial hospital care, per day, moderate complexity | 11% | 1,018 | 818 | $40K |
| 93922 | 8.6% | 1,927 | 1,608 | $31K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.5% | 441 | 372 | $20K |
| 11721 | 4.9% | 2,534 | 1,726 | $18K | |
| 11056 | 4.9% | 2,332 | 1,577 | $18K | |
| 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 | 4.0% | 283 | 236 | $14K |
| 99221 | 3.4% | 472 | 374 | $12K | |
| 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 | 2.6% | 626 | 512 | $9K |
| 93971 | 2.3% | 177 | 131 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 960 | 659 | $8K |
| 11043 | 1.9% | 140 | 76 | $7K |
25 more codes
| L5679 | Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, not for use with locking mechanism | 1.6% | 26 | $6K |
| L5704 | Custom shaped protective cover, below knee | 1.3% | 33 | $5K |
| L5645 | Addition to lower extremity, below knee, flexible inner socket, external frame | 1.3% | 19 | $5K |
| L5620 | Addition to lower extremity, test socket, below knee | <1% | 19 | $3K |
| L5940 | Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) | <1% | 19 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 25 | $3K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 15 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 226 | $3K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 131 | $2K |
| L5910 | Addition, endoskeletal system, below knee, alignable system | <1% | 19 | $2K |
| L5629 | Addition to lower extremity, below knee, acrylic socket | <1% | 19 | $2K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 143 | $2K |
| 73630 | <1% | 181 | $2K | |
| L5637 | Addition to lower extremity, below knee, total contact | <1% | 19 | $2K |
| L8420 | Prosthetic sock, multiple ply, below knee, each | <1% | 38 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 40 | $2K |
| L5685 | Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each | <1% | 18 | $1K |
| L8440 | Prosthetic shrinker, below knee, each | <1% | 36 | $1K |
| L8400 | Prosthetic sheath, below knee, each | <1% | 35 | $1K |
| 93880 | <1% | 42 | $879.31 | |
| 93990 | <1% | 63 | $694.28 | |
| 75625 | <1% | 17 | $504.23 | |
| L8470 | Prosthetic sock, single ply, fitting, below knee, each | <1% | 36 | $395.02 |
| 95982 | <1% | 29 | $222.85 | |
| 76937 | <1% | 15 | $73.01 |
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 officialBOSKIND, JOHN (PRESIDENT)