Physician
Tennessee Sports Medicine, PC
Tennessee Sports Medicine, PC was paid $396K by Medicaid between Jan 2018 and Sep 2021, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoTENNESSEE SPORTS MEDICINE, PC
MOUNT JULIET, TN 37122
MOUNT JULIET, TN 37122
33aNPI1548571482assigned 06/25/2010
33bProvider typeOrthopaedic Surgery Physician
28Total paid$396K
24GClaims12,639
24DCodes billed26
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Tennessee
Rank by total paid#13 of 75
Median peer was paid$42K
This provider vs. median9.4×
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 | 6,725 | $217K | |
| 2019 | 3,505 | $103K | |
| 2020 | 2,238 | $66K | |
| 2021 | 171 | $9K |
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 | 35% | 3,247 | 2,384 | $139K |
| 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 | 25% | 1,388 | 1,202 | $101K |
| 20610 | 7.0% | 857 | 467 | $28K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.9% | 447 | 406 | $23K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 5.0% | 103 | 85 | $20K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 560 | 471 | $18K |
| 73560 | 3.3% | 983 | 733 | $13K | |
| 73610 | 2.3% | 664 | 477 | $9K | |
| 73565 | 2.2% | 729 | 616 | $9K | |
| 73630 | 2.1% | 632 | 460 | $8K | |
| 73110 | 1.8% | 505 | 324 | $7K | |
| 73130 | 1.1% | 295 | 204 | $4K |
14 more codes
| 73030 | 1.1% | 328 | $4K | |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 1.0% | 25 | $4K |
| 72100 | <1% | 141 | $2K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 231 | $2K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 269 | $2K |
| 29075 | <1% | 14 | $768.07 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 20 | $752.83 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 38 | $351.00 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 48 | $218.97 |
| J0670 | Injection, mepivacaine hydrochloride, per 10 ml | <1% | 117 | $74.41 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 51 | $42.00 |
| J3490 | Unclassified drugs | <1% | 162 | $30.00 |
| 99024 | 0% | 753 | $0.00 | |
| 99051 | 0% | 32 | $0.00 |
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 officialKAELIN, CHARLES (ORTHOPAEDIC SURGEON)
| Provider | Location | Paid |
|---|---|---|
| Sport Ortho Urgent Care PC | Mount Juliet, TN | $148K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.