Tennessee Orthopaedic Alliance PA

Tennessee Orthopaedic Alliance PA was paid $5.63M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoTENNESSEE ORTHOPAEDIC ALLIANCE PA
NASHVILLE, TN 37209

33aNPI1538153937assigned 08/31/2005

33bProvider typeDurable Medical Equipment & Medical Supplies

28Total paid$5.63M

24GClaims161,357

24DCodes billed71

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Tennessee

Rank by total paid#16 of 296

Median peer was paid$15K

This provider vs. median364×

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	14,045	$473K
2019	12,906	$451K
2020	9,948	$330K
2021	28,070	$956K
2022	33,319	$1.17M
2023	40,199	$1.48M
2024incomplete	22,870	$765K

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	31%	56,392	44,700	$1.77M
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	19%	23,908	19,288	$1.08M
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	14%	13,084	11,408	$785K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	14%	26,926	8,981	$780K
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	6.9%	4,618	3,897	$385K
95886		2.0%	2,229	1,790	$115K
20610		1.5%	3,427	2,523	$87K
97530	Therapeutic activities, direct patient contact, each 15 minutes	1.3%	3,098	1,057	$72K
64483		1.2%	855	748	$68K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	1.1%	377	318	$63K
73630		1.1%	4,226	2,933	$60K
73610		<1%	2,870	2,052	$45K

59 more codes

72100		<1%	1,747	$29K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	587	$29K
73562		<1%	1,722	$25K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	891	$20K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	1,488	$20K
73110		<1%	1,056	$19K
73130		<1%	1,125	$18K
29075		<1%	253	$15K
64493		<1%	208	$13K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	544	$12K
73030		<1%	1,023	$11K
72040		<1%	551	$10K
72110		<1%	399	$9K
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	1,011	$8K
73721	Magnetic resonance imaging, any joint of lower extremity; without contrast material	<1%	26	$8K
95908		<1%	121	$6K
73502		<1%	480	$6K
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	1,213	$5K
29065		<1%	66	$5K
72148	Magnetic resonance imaging, lumbar spine; without contrast material	<1%	28	$5K
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	<1%	154	$4K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	1,749	$4K
20611		<1%	90	$3K
73564		<1%	222	$3K
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	545	$3K
99215	Doctor's office visit, returning patient (complex)	<1%	29	$3K
62323		<1%	82	$2K
Q4038	Cast supplies, short leg cast, adult (11 years +), fiberglass	<1%	90	$2K
64479		<1%	15	$2K
L1820	Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	<1%	14	$1K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	<1%	173	$1K
J1010	Injection, methylprednisolone acetate, 1 mg	<1%	279	$1K
64494		<1%	25	$914.23
95910		<1%	17	$891.23
95909		<1%	16	$886.93
97161		<1%	13	$742.65
73090		<1%	38	$729.14
73100		<1%	40	$668.63
L4387	Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf	<1%	13	$667.93
99152		<1%	60	$606.95
97162		<1%	15	$606.27
L1902	Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf	<1%	13	$603.42
72082		<1%	12	$470.80
73501		<1%	44	$453.91
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	725	$446.11
72170		<1%	42	$438.05
72050		<1%	22	$401.53
Q4010	Cast supplies, short arm cast, adult (11 years +), fiberglass	<1%	37	$400.17
73600		<1%	24	$340.43
97014		<1%	31	$325.64
73560		<1%	26	$321.24
Q4008	Cast supplies, long arm cast, pediatric (0-10 years), fiberglass	<1%	26	$286.32
73070		<1%	14	$254.11
73620		<1%	21	$209.17
Q4012	Cast supplies, short arm cast, pediatric (0-10 years), fiberglass	<1%	16	$121.48
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	18	$88.96
99051		<1%	12	$63.68
J3490	Unclassified drugs	<1%	20	$3.36
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	<1%	26	$0.97

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 officialMCSWAIN, ASHLEY (CREDENTIALING SPECIALIST)