Physician
Southern Tennessee Cardiology, PLLC
Southern Tennessee Cardiology, PLLC was paid $905K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 78452, Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress — 24% of everything it billed.
33Billing provider infoSOUTHERN TENNESSEE CARDIOLOGY, PLLC
WINCHESTER, TN 37398
WINCHESTER, TN 37398
33aNPI1649504143assigned 09/30/2009
33bProvider typeCardiovascular Disease Physician
28Total paid$905K
24GClaims27,055
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Tennessee
Rank by total paid#10 of 136
Median peer was paid$21K
This provider vs. median43×
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 | 4,738 | $116K | |
| 2019 | 4,940 | $155K | |
| 2020 | 3,213 | $110K | |
| 2021 | 4,101 | $141K | |
| 2022 | 3,923 | $154K | |
| 2023 | 3,408 | $131K | |
| 2024incomplete | 2,732 | $98K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 24% | 2,242 | 1,774 | $219K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 23% | 3,112 | 2,632 | $204K |
| 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 | 14% | 5,636 | 4,433 | $131K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 13% | 2,262 | 1,792 | $120K |
| 93015 | 6.8% | 2,364 | 1,888 | $61K | |
| 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 | 6.2% | 1,075 | 940 | $56K |
| 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% | 2,545 | 2,112 | $38K |
| 93970 | 3.8% | 595 | 506 | $35K | |
| J0153 | Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) | 2.1% | 1,966 | 1,539 | $19K |
| 93000 | 2.0% | 2,552 | 2,208 | $18K | |
| 93880 | <1% | 46 | 36 | $2K | |
| 93923 | <1% | 28 | 24 | $441.24 |
8 more codes
| 93925 | <1% | 13 | $404.10 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 97 | $271.30 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 475 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,279 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 13 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 152 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 332 | $0.00 |
| 1036F | 0% | 271 | $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 officialBASARABA, MIRCEA (OWNER)