Physician
Knoxville Hma Physician Management, LLC
Knoxville Hma Physician Management, LLC was paid $8.70M by Medicaid between Jan 2018 and Dec 2024, across 163 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoKNOXVILLE HMA PHYSICIAN MANAGEMENT, LLC
KNOXVILLE, TN 37917
KNOXVILLE, TN 37917
33aNPI1629356969assigned 08/03/2011
33bProvider typeInternal Medicine Physician
28Total paid$8.70M
24GClaims871,295
24DCodes billed163
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Tennessee
Rank by total paid#3 of 581
Median peer was paid$15K
This provider vs. median575×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MUSIC, KRISTINA controls 20+ related entities in our dataset. Read more
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 | 55,360 | $1.20M | |
| 2019 | 52,194 | $1.25M | |
| 2020 | 60,366 | $1.34M | |
| 2021 | 181,036 | $1.81M | |
| 2022 | 175,530 | $1.07M | |
| 2023 | 177,341 | $1.03M | |
| 2024incomplete | 169,468 | $1.00M |
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 | 33% | 100,171 | 77,106 | $2.86M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 76,918 | 62,138 | $1.90M |
| 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 | 9.2% | 13,342 | 11,419 | $798K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 6.9% | 9,673 | 7,424 | $602K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 7,106 | 6,046 | $287K |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.8% | 3,556 | 1,648 | $158K |
| 76830 | Ultrasound, transvaginal | 1.7% | 2,747 | 2,340 | $150K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 3,148 | 2,205 | $146K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.5% | 1,873 | 1,618 | $127K |
| 76820 | 1.4% | 3,188 | 1,482 | $122K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.3% | 1,603 | 1,127 | $117K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 6,500 | 5,483 | $112K |
151 more codes
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.3% | 2,589 | $109K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.1% | 2,049 | $100K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 5,848 | $85K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 2,028 | $76K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 894 | $61K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 46 | $57K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 756 | $54K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 9,784 | $51K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 495 | $51K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 2,701 | $48K |
| 99223 | Prolong inpt eval add15 m | <1% | 881 | $39K |
| 99205 | Prolong outpt/office vis | <1% | 427 | $35K |
| 36415 | Collection of venous blood by venipuncture | <1% | 32,608 | $32K |
| 52000 | <1% | 598 | $31K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 780 | $31K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 894 | $28K |
| 11721 | <1% | 6,082 | $27K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 429 | $25K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 601 | $25K |
| 99443 | <1% | 1,264 | $23K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 2,279 | $22K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 175 | $20K |
| 59426 | <1% | 38 | $19K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,005 | $17K |
| 99442 | <1% | 950 | $15K | |
| 76801 | <1% | 206 | $12K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,326 | $11K |
| 59425 | <1% | 37 | $11K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 665 | $11K |
| 43248 | <1% | 97 | $9K | |
| 54150 | <1% | 56 | $8K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 670 | $8K |
| 81025 | <1% | 1,850 | $8K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 203 | $8K |
| 94010 | <1% | 815 | $7K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 286 | $6K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 6,153 | $6K |
| 99423 | <1% | 279 | $6K | |
| 3074F | <1% | 63,623 | $5K | |
| 77427 | <1% | 181 | $5K | |
| 3079F | <1% | 26,887 | $4K | |
| 3078F | <1% | 50,849 | $4K | |
| 81002 | <1% | 2,669 | $4K | |
| 81003 | <1% | 6,121 | $4K | |
| 99441 | <1% | 331 | $4K | |
| 96127 | <1% | 1,485 | $4K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 189 | $4K |
| 90686 | <1% | 565 | $4K | |
| 99385 | <1% | 52 | $3K | |
| 45384 | <1% | 45 | $3K | |
| 97803 | <1% | 97 | $3K | |
| 93016 | <1% | 403 | $3K | |
| 52356 | <1% | 14 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 325 | $3K |
| 87428 | <1% | 51 | $2K | |
| 93018 | <1% | 403 | $2K | |
| 93351 | <1% | 91 | $2K | |
| 93000 | <1% | 351 | $2K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 354 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 326 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 294 | $2K |
| 3077F | <1% | 7,763 | $2K | |
| 99406 | <1% | 308 | $2K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 3,430 | $2K |
| 82962 | <1% | 1,985 | $2K | |
| 43450 | <1% | 144 | $2K | |
| 3075F | <1% | 9,740 | $2K | |
| 87210 | <1% | 853 | $2K | |
| 99422 | <1% | 102 | $2K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 2,411 | $2K |
| 59025 | Fetal non-stress test | <1% | 54 | $2K |
| 90715 | <1% | 55 | $2K | |
| 80061 | Lipid panel | <1% | 1,799 | $2K |
| 80305 | <1% | 368 | $2K | |
| 99454 | <1% | 848 | $2K | |
| 11750 | <1% | 18 | $2K | |
| 99304 | <1% | 96 | $2K | |
| 3080F | <1% | 3,567 | $2K | |
| 90688 | <1% | 125 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 17 | $1K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 133 | $1K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 591 | $1K |
| 99386 | <1% | 13 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,858 | $1K |
| 52310 | <1% | 15 | $1K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 1,775 | $1K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 71 | $1K |
| 73630 | <1% | 119 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 62 | $981.06 |
| 77014 | <1% | 155 | $943.22 | |
| 77300 | <1% | 51 | $936.16 | |
| 83013 | <1% | 50 | $929.28 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | $924.63 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 64 | $921.44 |
| 91200 | <1% | 42 | $830.64 | |
| 43235 | <1% | 13 | $818.39 | |
| 0500F | <1% | 262 | $798.63 | |
| 93350 | <1% | 21 | $721.01 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 99 | $669.51 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 545 | $559.92 |
| 96160 | <1% | 824 | $551.32 | |
| 77290 | <1% | 43 | $491.46 | |
| 1170F | <1% | 6,229 | $446.46 | |
| 76981 | <1% | 13 | $417.73 | |
| 77334 | <1% | 21 | $394.79 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 78 | $392.28 |
| 77263 | <1% | 17 | $372.51 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 12 | $372.42 |
| 99457 | <1% | 185 | $342.23 | |
| 99305 | <1% | 15 | $323.13 | |
| 73564 | <1% | 20 | $299.63 | |
| 97597 | <1% | 37 | $275.08 | |
| 92551 | <1% | 45 | $251.71 | |
| 20610 | <1% | 23 | $228.21 | |
| G0008 | Administration of influenza virus vaccine | <1% | 439 | $220.66 |
| 83014 | <1% | 50 | $206.68 | |
| 99307 | <1% | 32 | $204.53 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 436 | $168.43 |
| 99173 | <1% | 28 | $153.96 | |
| 3008F | <1% | 112,076 | $105.06 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,345 | $104.12 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 93 | $95.82 |
| 11720 | <1% | 12 | $77.32 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 76 | $69.17 |
| 0502F | <1% | 20,305 | $40.00 | |
| 86580 | <1% | 17 | $32.93 | |
| 90461 | <1% | 65 | $16.82 | |
| 82044 | <1% | 22 | $10.84 | |
| 99453 | <1% | 17 | $7.39 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 33 | $3.49 |
| 1090F | <1% | 5,270 | $2.60 | |
| 85610 | <1% | 23 | $0.25 | |
| 1036F | <1% | 79,164 | $0.04 | |
| 1034F | <1% | 26,999 | $0.02 | |
| 1160F | <1% | 39,527 | $0.02 | |
| 1159F | <1% | 33,558 | $0.01 | |
| 1125F | 0% | 3,320 | $0.00 | |
| 1101F | 0% | 4,942 | $0.00 | |
| 1126F | 0% | 3,908 | $0.00 | |
| 1035F | 0% | 100 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,931 | $0.00 |
| 99024 | 0% | 1,007 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 22 | $0.00 |
| 3288F | 0% | 2,268 | $0.00 | |
| 99499 | 0% | 1,980 | $0.00 | |
| 3725F | 0% | 6,210 | $0.00 | |
| 90662 | 0% | 91 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 1,672 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 646 | $0.00 |
| 90670 | 0% | 22 | $0.00 | |
| 1100F | 0% | 15 | $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 officialMUSIC, KRISTINA (DIRECTOR PE; AUTHORIZED OFFICIAL)
Parent organizationCOMMUNITY HEALTH SYSTEMS
| Provider | Location | Paid |
|---|---|---|
| Lutheran Medical Group LLC | Fort Wayne, IN | $21.97M |
| LA Porte Clinic Company LLC | Valparaiso, IN | $18.77M |
| Vicksburg Clinic LLC | Vicksburg, MS | $15.98M |
| Northwest Allied Physicians LLC | Tucson, AZ | $10.30M |
| Kosciusko Medical Group LLC | Warsaw, IN | $8.81M |
| Wesley Physician Services LLC | Hattiesburg, MS | $8.20M |
| Porter Physician Services LLC | Valparaiso, IN | $6.44M |
| Hood Medical Group | Granbury, TX | $6.40M |
| Northwest Physicians LLC | Springdale, AR | $5.81M |
| QHG of Fort Wayne Company LLC | Fort Wayne, IN | $4.24M |
| Vicksburg Clinic LLC | Vicksburg, MS | $4.10M |
| Dukes Physician Services LLC | Peru, IN | $3.72M |
| Bluffton Physician Services LLC | Bluffton, IN | $3.45M |
| Bullhead City Clinic Corp | Bullhead City, AZ | $3.13M |
| Northwest Urgent Care LLC | Tucson, AZ | $2.64M |
| River Oaks Management Company LLC | Jackson, MS | $2.56M |
| Scranton Quincy Clinic Company LLC | Scranton, PA | $2.03M |
| Foley Clinic Corp | Gulf Shores, AL | $2.01M |
| Mat Su Valley Medical Center LLC | Wasilla, AK | $1.95M |
| Medstat LLC | Warsaw, IN | $1.76M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.