Physician
Orthopaedic Specialists PLLC
Orthopaedic Specialists PLLC was paid $55K by Medicaid between Jan 2018 and Feb 2019, across 13 billing codes. Its largest line is 20611, — 21% of everything it billed.
33Billing provider infoORTHOPAEDIC SPECIALISTS PLLC
DICKSON, TN 37055
DICKSON, TN 37055
33aNPI1578930251assigned 08/28/2015
33bProvider typeOrthopaedic Surgery Physician
28Total paid$55K
24GClaims1,856
24DCodes billed13
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Tennessee
Rank by total paid#34 of 75
Median peer was paid$42K
This provider vs. median1.3×
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 | 1,806 | $55K | |
| 2019 | 50 | $473.21 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 20611 | 21% | 293 | 175 | $11K | |
| 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% | 234 | 194 | $10K |
| 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 | 18% | 136 | 126 | $10K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 15% | 428 | 92 | $8K |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 12% | 102 | 38 | $6K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 4.9% | 223 | 77 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.2% | 115 | 102 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.8% | 32 | 30 | $2K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1.6% | 86 | 76 | $894.82 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.2% | 71 | 24 | $688.30 |
| 73564 | <1% | 56 | 40 | $504.62 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 52 | 46 | $304.76 |
1 more codes
| 97010 | 0% | 28 | $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 officialDOWNS, BRANDON (MD/PRESIDENT)