Stones River Dermatology PLC

Stones River Dermatology PLC was paid $22K by Medicaid between Jan 2018 and Sep 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.

33Billing provider infoSTONES RIVER DERMATOLOGY PLC
MURFREESBORO, TN 37130

33aNPI1609178102assigned 12/03/2010

33bProvider typeDermatology Physician

28Total paid$22K

24GClaims865

24DCodes billed3

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Dermatology Physician providers in Tennessee

Rank by total paid#25 of 42

Median peer was paid$55K

This provider vs. median0.4×

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	67	$2K
2019	303	$6K
2020	125	$3K
2021	131	$4K
2022	47	$1K
2023	153	$4K
2024incomplete	39	$1K

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	95%	827	711	$21K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	3.9%	24	24	$853.47
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.1%	14	13	$244.65

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 officialNELSON, RONALD (OWNER/PRESIDENT)