Rheumatology Specialty Clinic PLLC
Rheumatology Specialty Clinic PLLC was paid $57K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 93% of everything it billed.
33Billing provider infoRHEUMATOLOGY SPECIALTY CLINIC PLLC
GERMANTOWN, TN 38138
GERMANTOWN, TN 38138
33aNPI1457580508assigned 07/10/2009
33bProvider typeSpecialist
28Total paid$57K
24GClaims3,870
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#127 of 252
Median peer was paid$57K
This provider vs. median1.0×
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 | 868 | $4K | |
| 2019 | 442 | $5K | |
| 2020 | 484 | $2K | |
| 2021 | 473 | $7K | |
| 2022 | 699 | $13K | |
| 2023 | 578 | $11K | |
| 2024incomplete | 326 | $14K |
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 | 93% | 3,279 | 2,483 | $53K |
| 99443 | 2.0% | 72 | 38 | $1K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 121 | 109 | $1K |
| 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 | 1.6% | 12 | 12 | $891.76 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 192 | 119 | $495.03 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 194 | 120 | $281.65 |
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 officialGANGULI, SUDHA (MD/OWNER)