Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Specialty Orthopedic Group Tennessee PLLC

Specialty Orthopedic Group Tennessee PLLC was paid $151K by Medicaid between Jul 2020 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.

33Billing provider infoSPECIALTY ORTHOPEDIC GROUP TENNESSEE PLLC
LAFAYETTE, TN 37083
33aNPI1457998379assigned 12/10/2019
28Total paid$151K
24GClaims6,647
24DCodes billed11
24AFirst – last monthJul 2020 – Nov 2024
Compared with peers

Next to other Orthopaedic Surgery Physician providers in Tennessee

Rank by total paid#24 of 75
Median peer was paid$42K
This provider vs. median3.6×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2020215$3K
2021865$22K
20221,849$44K
20232,680$56K
2024incomplete1,038$26K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 29% 1,484 1,181 $44K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 1,480 1,206 $36K
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 20% 717 511 $30K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17% 623 527 $25K
20610 3.1% 302 193 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3.1% 153 130 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.1% 826 642 $3K
J1030 Injection, methylprednisolone acetate, 40 mg 2.1% 893 604 $3K
J1010 Injection, methylprednisolone acetate, 1 mg <1% 31 28 $73.36
J3490 Unclassified drugs <1% 45 35 $6.05
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 93 79 $0.30

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 officialCASSIDY, BEAU (BUSINESS OWNER)