Physician
Columbia Medical Group - the Frist Clinic INC
Columbia Medical Group - the Frist Clinic INC was paid $1.34M by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 44% of everything it billed.
33Billing provider infoCOLUMBIA MEDICAL GROUP - THE FRIST CLINIC INC
NASHVILLE, TN 37203
NASHVILLE, TN 37203
33aNPI1679560023assigned 09/30/2005
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$1.34M
24GClaims62,466
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in Tennessee
Rank by total paid#3 of 27
Median peer was paid$73K
This provider vs. median18×
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 | 10,083 | $207K | |
| 2019 | 10,574 | $189K | |
| 2020 | 9,986 | $229K | |
| 2021 | 10,669 | $252K | |
| 2022 | 8,468 | $175K | |
| 2023 | 7,254 | $161K | |
| 2024incomplete | 5,432 | $129K |
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 | 44% | 21,599 | 5,966 | $590K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 16% | 10,241 | 3,877 | $214K |
| 99223 | Prolong inpt eval add15 m | 14% | 3,646 | 3,164 | $185K |
| 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 | 8.7% | 5,558 | 4,589 | $117K |
| 99222 | Initial hospital care, per day, moderate complexity | 8.0% | 3,337 | 2,918 | $108K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 6.2% | 8,194 | 3,735 | $84K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 798 | 704 | $10K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 171 | 129 | $7K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 602 | 556 | $6K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 76 | 25 | $6K |
| 94010 | <1% | 796 | 720 | $3K | |
| 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 | <1% | 57 | 49 | $2K |
16 more codes
| 43235 | <1% | 65 | $2K | |
| 94729 | <1% | 666 | $2K | |
| 95251 | <1% | 200 | $2K | |
| 94726 | <1% | 266 | $1K | |
| 94727 | <1% | 190 | $671.75 | |
| 94060 | <1% | 138 | $592.19 | |
| 99221 | <1% | 28 | $440.34 | |
| 82962 | <1% | 375 | $190.53 | |
| 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% | 62 | $168.91 |
| 99305 | <1% | 15 | $92.82 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 13 | $66.11 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 154 | $0.00 |
| 1123F | 0% | 14 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 5,107 | $0.00 |
| 1124F | 0% | 81 | $0.00 | |
| 3046F | 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 officialSYKES, DAN (DIRECTOR)
Parent organizationHEALTHSERV ACQUISITION, LLC
| Provider | Location | Paid |
|---|---|---|
| Tristar Gynecology Oncology, LLC | Nashville, TN | $27K |
| Centennial Hospitalists, LLC | Nashville, TN | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.