Tennessee Urology Associates, PLLC

Tennessee Urology Associates, PLLC was paid $153K by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.

33Billing provider infoTENNESSEE UROLOGY ASSOCIATES, PLLC
OAK RIDGE, TN 37830

33aNPI1669416442assigned 06/15/2006

33bProvider typeUrology Physician

28Total paid$153K

24GClaims29,413

24DCodes billed31

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Urology Physician providers in Tennessee

Rank by total paid#7 of 53

Median peer was paid$12K

This provider vs. median13×

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	8,159	$48K
2019	9,350	$53K
2020	4,476	$27K
2021	3,091	$12K
2022	2,001	$8K
2023	247	$185.83
2024incomplete	2,089	$5K

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	32%	3,181	2,476	$49K
87798	Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism	16%	3,483	235	$24K
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%	1,389	1,166	$15K
88112		8.6%	1,190	1,059	$13K
51798		7.2%	3,400	2,723	$11K
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	7.1%	266	224	$11K
81003		3.1%	11,961	9,160	$5K
87482		2.7%	415	250	$4K
87653		2.2%	420	245	$3K
87640		2.2%	410	243	$3K
84153		1.8%	1,043	921	$3K
87500		1.4%	235	167	$2K

19 more codes

87641		1.2%	209	$2K
52000		<1%	47	$1K
99203	Doctor's office visit, new patient (routine)	<1%	34	$964.90
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%	766	$898.06
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	<1%	74	$760.50
87556		<1%	69	$697.11
87625		<1%	69	$678.93
87529		<1%	82	$532.70
87496		<1%	82	$532.70
80048	Basic metabolic panel (calcium, ionized)	<1%	207	$295.57
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	29	$274.40
74018		<1%	57	$241.65
76775		<1%	16	$215.37
36415	Collection of venous blood by venipuncture	<1%	186	$117.30
84403		<1%	17	$106.20
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	15	$39.20
99490	Ccm add 20min	<1%	29	$37.90
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	18	$24.32
81001		<1%	14	$5.15

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 officialRUH, JENNIFER (A/R ADMIN)