Physician
US Diabetes Care and Surgical Specialty of Morristown TN
US Diabetes Care and Surgical Specialty of Morristown TN was paid $156K by Medicaid between Dec 2020 and Nov 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoUS DIABETES CARE AND SURGICAL SPECIALTY OF MORRISTOWN TN
MORRISTOWN, TN 37814
MORRISTOWN, TN 37814
33aNPI1427610211assigned 07/02/2019
33bProvider typeFamily Medicine Physician
28Total paid$156K
24GClaims6,895
24DCodes billed28
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#196 of 754
Median peer was paid$34K
This provider vs. median4.6×
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 | |
|---|---|---|---|
| 2020 | 190 | $5K | |
| 2021 | 2,520 | $78K | |
| 2022 | 1,031 | $27K | |
| 2023 | 1,637 | $21K | |
| 2024incomplete | 1,517 | $25K |
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 | 38% | 1,998 | 1,575 | $60K |
| 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 | 36% | 1,760 | 1,496 | $56K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.5% | 295 | 201 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 111 | 86 | $6K |
| 93923 | 2.8% | 236 | 92 | $4K | |
| 95251 | 2.0% | 257 | 231 | $3K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 1.1% | 84 | 78 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 91 | 63 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 30 | 24 | $1K |
| 82962 | <1% | 1,059 | 927 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | 14 | $943.86 |
| G0109 | Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes | <1% | 43 | 12 | $901.72 |
16 more codes
| 99205 | Prolong outpt/office vis | <1% | 12 | $861.81 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 102 | $761.37 |
| 95923 | <1% | 117 | $759.30 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 16 | $702.16 |
| 95924 | <1% | 116 | $668.19 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 35 | $366.95 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 21 | $231.95 |
| 93040 | <1% | 95 | $215.63 | |
| 90670 | <1% | 91 | $210.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 15 | $160.15 |
| 36415 | Collection of venous blood by venipuncture | <1% | 111 | $151.32 |
| 81003 | <1% | 70 | $84.53 | |
| 96127 | <1% | 18 | $67.28 | |
| 99173 | <1% | 14 | $62.09 | |
| 90648 | <1% | 41 | $14.07 | |
| 90723 | 0% | 42 | $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 officialTATE, HELEN (BUSINESS DEVELOPMENT)