Physician
Sport Ortho Urgent Care PC
Sport Ortho Urgent Care PC was paid $148K by Medicaid between Jan 2019 and Nov 2021, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoSPORT ORTHO URGENT CARE PC
MOUNT JULIET, TN 37122
MOUNT JULIET, TN 37122
33aNPI1659750834assigned 05/21/2015
33bProvider typeSports Medicine (Orthopaedic Surgery) Physician
28Total paid$148K
24GClaims4,667
24DCodes billed20
24AFirst – last monthJan 2019 – Nov 2021
Compared with peers
Next to other Sports Medicine (Orthopaedic Surgery) Physician providers in Tennessee
Rank by total paid#1 of 12
Median peer was paid$935.67
This provider vs. median159×
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 | |
|---|---|---|---|
| 2019 | 1,123 | $32K | |
| 2020 | 1,334 | $46K | |
| 2021 | 2,210 | $71K |
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 | 26% | 940 | 732 | $39K |
| 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 | 26% | 571 | 470 | $39K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.7% | 432 | 352 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.4% | 262 | 218 | $12K |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 8.0% | 130 | 89 | $12K |
| 73630 | 3.7% | 430 | 298 | $5K | |
| 20611 | 3.0% | 78 | 40 | $4K | |
| 73610 | 2.9% | 317 | 217 | $4K | |
| 73560 | 2.9% | 355 | 270 | $4K | |
| 73110 | 2.4% | 246 | 170 | $4K | |
| 73130 | 2.2% | 267 | 172 | $3K | |
| 73565 | 2.1% | 241 | 208 | $3K |
8 more codes
| 20610 | 1.1% | 74 | $2K | |
| 73030 | <1% | 65 | $909.07 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 45 | $376.39 |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 13 | $348.04 |
| 72100 | <1% | 14 | $260.14 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 27 | $72.03 |
| J0670 | Injection, mepivacaine hydrochloride, per 10 ml | <1% | 31 | $13.98 |
| 99024 | 0% | 129 | $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 officialKAELIN, CHARLES (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Tennessee Sports Medicine, PC | Mount Juliet, TN | $396K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.