Clinic
Southeast Spine & Pain Associates LLC
Southeast Spine & Pain Associates LLC was paid $153K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoSOUTHEAST SPINE & PAIN ASSOCIATES LLC
KNOXVILLE, TN 37917
KNOXVILLE, TN 37917
33aNPI1649523689assigned 10/15/2012
33bProvider typePain Clinic/Center
28Total paid$153K
24GClaims69,448
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pain Clinic/Center providers in Tennessee
Rank by total paid#3 of 10
Median peer was paid$55K
This provider vs. median2.8×
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 | 7,989 | $17K | |
| 2019 | 12,180 | $36K | |
| 2020 | 10,727 | $23K | |
| 2021 | 15,782 | $28K | |
| 2022 | 12,404 | $23K | |
| 2023 | 8,021 | $23K | |
| 2024incomplete | 2,345 | $3K |
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 | 38% | 15,347 | 10,027 | $59K |
| 96136 | 26% | 18,470 | 12,041 | $41K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 11% | 20,628 | 13,578 | $18K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.8% | 4,799 | 3,272 | $13K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 7.6% | 4,445 | 2,829 | $12K |
| 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 | 2.4% | 302 | 218 | $4K |
| 96103 | 2.1% | 2,351 | 1,780 | $3K | |
| 20610 | <1% | 304 | 176 | $975.68 | |
| 77002 | <1% | 348 | 208 | $859.98 | |
| 20552 | <1% | 819 | 566 | $810.63 | |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed | <1% | 312 | 286 | $418.19 |
| 64493 | <1% | 79 | 47 | $298.79 |
6 more codes
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed | <1% | 108 | $274.85 |
| 64494 | <1% | 79 | $152.59 | |
| 64495 | <1% | 76 | $140.52 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 635 | $33.87 |
| 96127 | <1% | 303 | $32.68 | |
| 81002 | <1% | 43 | $1.33 |
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 officialLORD, CHRISTIE (CREDENTIALING/BILLING MANAGER)