Physician
Anova Medical Associates, PLC
Anova Medical Associates, PLC was paid $862K by Medicaid between Sep 2019 and Dec 2024, across 26 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 29% of everything it billed.
33Billing provider infoANOVA MEDICAL ASSOCIATES, PLC
GALLATIN, TN 37066
GALLATIN, TN 37066
33aNPI1659849537assigned 11/08/2018
33bProvider typeHospitalist Physician
28Total paid$862K
24GClaims43,396
24DCodes billed26
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other Hospitalist Physician providers in Tennessee
Rank by total paid#9 of 83
Median peer was paid$13K
This provider vs. median64×
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 | 730 | $10K | |
| 2020 | 2,914 | $41K | |
| 2021 | 6,248 | $105K | |
| 2022 | 9,236 | $171K | |
| 2023 | 14,757 | $316K | |
| 2024incomplete | 9,511 | $219K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 29% | 13,132 | 6,157 | $250K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 23% | 14,224 | 6,075 | $200K |
| 99223 | Prolong inpt eval add15 m | 15% | 2,983 | 2,329 | $125K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 10% | 2,606 | 2,370 | $88K |
| 99239 | Hospital discharge day management, more than 30 minutes | 10% | 4,423 | 3,511 | $87K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 5.8% | 954 | 366 | $50K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.0% | 1,107 | 843 | $17K |
| 99220 | 1.6% | 282 | 257 | $14K | |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.5% | 264 | 237 | $13K |
| 99217 | <1% | 406 | 339 | $8K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 308 | 287 | $7K |
| 99307 | <1% | 349 | 335 | $2K |
14 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 39 | $443.60 |
| 99304 | <1% | 37 | $405.65 | |
| 99225 | <1% | 15 | $355.00 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 12 | $144.61 |
| 94726 | <1% | 44 | $123.24 | |
| 94729 | <1% | 44 | $80.97 | |
| 94375 | <1% | 25 | $9.72 | |
| 1123F | 0% | 633 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 244 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 833 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 171 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 187 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 57 | $0.00 |
| 1124F | 0% | 17 | $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 officialKING, MATTHEW (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Galencare, INC. | Brandon, FL | $34.68M |
| Sodus Town Ambulance Corps | North Rose, NY | $233K |
| Town Line Eye Care, LLC | Rocky Hill, CT | $80K |
| Fannin County Hospital Authority | Bedford, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.