Physician
Blount Memorial Physician Group, INC.
Blount Memorial Physician Group, INC. was paid $4.21M by Medicaid between Jan 2018 and Dec 2024, across 85 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoBLOUNT MEMORIAL PHYSICIAN GROUP, INC.
ALCOA, TN 37701
ALCOA, TN 37701
33aNPI1699710194assigned 06/18/2006
33bProvider typeDermatology Physician
28Total paid$4.21M
24GClaims217,872
24DCodes billed85
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dermatology Physician providers in Tennessee
Rank by total paid#2 of 42
Median peer was paid$55K
This provider vs. median76×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LAWRENCE, KRISTI controls 20+ related entities in our dataset. Read more
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 | 32,655 | $622K | |
| 2019 | 34,236 | $649K | |
| 2020 | 33,084 | $636K | |
| 2021 | 36,439 | $834K | |
| 2022 | 26,642 | $547K | |
| 2023 | 29,982 | $544K | |
| 2024incomplete | 24,834 | $375K |
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 | 45% | 81,477 | 65,938 | $1.88M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 31,425 | 25,979 | $652K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.9% | 20,741 | 9,533 | $333K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.9% | 12,334 | 5,940 | $291K |
| 99223 | Prolong inpt eval add15 m | 4.8% | 4,526 | 4,034 | $203K |
| 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 | 2.8% | 1,943 | 1,653 | $117K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.3% | 30,440 | 25,306 | $96K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.2% | 3,823 | 3,419 | $94K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 2,603 | 2,047 | $82K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 3,918 | 3,141 | $79K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.3% | 2,709 | 2,392 | $55K |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | 1.0% | 157 | 110 | $44K |
73 more codes
| 93000 | <1% | 5,906 | $33K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 803 | $32K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 666 | $31K |
| 95886 | <1% | 1,114 | $28K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 591 | $21K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 542 | $16K |
| M0245 | Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring | <1% | 39 | $12K |
| 99205 | Prolong outpt/office vis | <1% | 120 | $10K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 103 | $9K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 131 | $8K |
| 11721 | <1% | 1,385 | $8K | |
| 98925 | <1% | 1,353 | $7K | |
| 0002A | <1% | 197 | $7K | |
| 64615 | <1% | 135 | $6K | |
| 17110 | <1% | 141 | $4K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 124 | $4K |
| 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% | 1,998 | $4K |
| 95251 | <1% | 750 | $3K | |
| 99220 | <1% | 52 | $3K | |
| 90686 | <1% | 414 | $3K | |
| 0001A | <1% | 77 | $3K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 146 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 33 | $2K |
| 99406 | <1% | 462 | $2K | |
| 95811 | <1% | 27 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 242 | $1K |
| 95909 | <1% | 42 | $1K | |
| 95911 | <1% | 25 | $1K | |
| 11102 | <1% | 54 | $1K | |
| 0011A | <1% | 35 | $1K | |
| 51798 | <1% | 222 | $1K | |
| 99497 | <1% | 114 | $1K | |
| 98926 | <1% | 68 | $1K | |
| 99217 | <1% | 42 | $917.91 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 59 | $880.75 |
| 97597 | <1% | 52 | $819.10 | |
| 93016 | <1% | 122 | $805.41 | |
| 0031A | <1% | 18 | $720.00 | |
| 99443 | <1% | 47 | $684.44 | |
| 81002 | <1% | 948 | $658.26 | |
| 93018 | <1% | 120 | $658.02 | |
| 0012A | <1% | 16 | $600.00 | |
| 99496 | <1% | 60 | $539.09 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 77 | $536.06 |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 16 | $392.08 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 87 | $375.92 |
| 95816 | <1% | 14 | $375.43 | |
| 96120 | <1% | 16 | $343.77 | |
| 20611 | <1% | 22 | $305.75 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 18 | $261.43 |
| 81001 | <1% | 214 | $259.22 | |
| 95885 | <1% | 56 | $226.10 | |
| 94618 | <1% | 29 | $173.61 | |
| 90662 | <1% | 154 | $169.88 | |
| G0008 | Administration of influenza virus vaccine | <1% | 432 | $132.23 |
| 80305 | <1% | 20 | $67.00 | |
| 94729 | <1% | 15 | $27.88 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 14 | $15.04 |
| 81003 | <1% | 13 | $9.05 | |
| 91300 | <1% | 277 | $0.56 | |
| 91303 | <1% | 18 | $0.06 | |
| 91301 | <1% | 51 | $0.05 | |
| 99024 | 0% | 349 | $0.00 | |
| 1170F | 0% | 33 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 63 | $0.00 |
| 3074F | 0% | 14 | $0.00 | |
| 3008F | 0% | 33 | $0.00 | |
| 1123F | 0% | 33 | $0.00 | |
| 1111F | 0% | 14 | $0.00 | |
| 1160F | 0% | 28 | $0.00 | |
| 1159F | 0% | 28 | $0.00 | |
| 3078F | 0% | 29 | $0.00 | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | 0% | 14 | $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 officialLAWRENCE, KRISTI (DIR. OF PROVIDER ENROLLMENT & CVO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.