Johnson City Ob/Gyn Associates

Johnson City Ob/Gyn Associates was paid $76K by Medicaid between Jan 2018 and Mar 2020, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.

33Billing provider infoJOHNSON CITY OB/GYN ASSOCIATES
JOHNSON CITY, TN 37604

33aNPI1528091386assigned 07/07/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$76K

24GClaims1,876

24DCodes billed6

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Tennessee

Rank by total paid#74 of 176

Median peer was paid$39K

This provider vs. median1.9×

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	925	$38K
2019	819	$34K
2020	132	$4K

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	76%	1,591	1,403	$58K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	18%	182	171	$14K
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	4.1%	57	55	$3K
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	1.8%	16	14	$1K
87808		<1%	15	12	$81.45
87210		<1%	15	12	$45.57

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 officialPRESNELL, DONNA (OFFICE MANAGER)