Physician
Nashville Knee and Shoulder Center, PLLC
Nashville Knee and Shoulder Center, PLLC was paid $198K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoNASHVILLE KNEE AND SHOULDER CENTER, PLLC
NASHVILLE, TN 37203
NASHVILLE, TN 37203
33aNPI1497940456assigned 09/12/2007
33bProvider typeOrthopaedic Surgery Physician
28Total paid$198K
24GClaims6,626
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Tennessee
Rank by total paid#21 of 75
Median peer was paid$42K
This provider vs. median4.7×
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 | 817 | $22K | |
| 2019 | 674 | $20K | |
| 2020 | 534 | $16K | |
| 2021 | 940 | $29K | |
| 2022 | 1,507 | $51K | |
| 2023 | 1,471 | $43K | |
| 2024incomplete | 683 | $17K |
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 | 28% | 2,038 | 1,784 | $55K |
| 20610 | 28% | 1,338 | 952 | $55K | |
| 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 | 18% | 805 | 715 | $35K |
| 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 | 15% | 367 | 347 | $29K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.2% | 283 | 260 | $14K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 2.3% | 537 | 462 | $5K |
| 73562 | 1.5% | 202 | 149 | $3K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1.0% | 504 | 446 | $2K |
| 73030 | <1% | 20 | 14 | $352.51 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | 14 | $242.97 |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | <1% | 517 | 455 | $69.13 |
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 officialPAGNANI, MICHAEL (OWNER)