East Tennessee Medical Associates, P.C.

East Tennessee Medical Associates, P.C. was paid $485K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 46% of everything it billed.

33Billing provider infoEAST TENNESSEE MEDICAL ASSOCIATES, P.C.
JOHNSON CITY, TN 37604

33aNPI1619089034assigned 08/31/2006

33bProvider typeNephrology Physician

28Total paid$485K

24GClaims30,569

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in Tennessee

Rank by total paid#4 of 48

Median peer was paid$28K

This provider vs. median17×

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	3,095	$42K
2019	2,923	$44K
2020	3,175	$48K
2021	5,483	$94K
2022	6,697	$92K
2023	5,441	$89K
2024incomplete	3,755	$76K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	46%	16,990	5,179	$224K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	24%	5,169	4,024	$118K
99223	Prolong inpt eval add15 m	13%	1,895	1,585	$62K
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	8.4%	2,822	2,128	$41K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.2%	1,458	1,248	$16K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.4%	587	229	$12K
99231	Subsequent hospital care, per day, straightforward or low complexity	1.7%	1,349	537	$8K
90935	Hemodialysis procedure with single evaluation by a physician	<1%	230	137	$2K
90961		<1%	19	17	$763.38
99222	Initial hospital care, per day, moderate complexity	<1%	36	27	$274.19
99221		<1%	14	14	$231.74

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 officialVERMILLION, STANLEY (VICE-PRESIDENT)