Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Smyrna › NPI 1700171063
Physician

Middle Tennessee Neurology LLC

Middle Tennessee Neurology LLC was paid $172K by Medicaid between Jan 2018 and Aug 2022, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.

33Billing provider infoMIDDLE TENNESSEE NEUROLOGY LLC
SMYRNA, TN 37167
33aNPI1700171063assigned 06/15/2011
33bProvider typeNeurology Physician
28Total paid$172K
24GClaims3,738
24DCodes billed3
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers

Next to other Neurology Physician providers in Tennessee

Rank by total paid#22 of 83
Median peer was paid$27K
This provider vs. median6.5×

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 DUNCAN, GARY controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018706$33K
2019804$37K
2020824$39K
2021872$40K
2022532$22K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 58% 2,683 2,299 $99K
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 42% 1,043 899 $72K
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% 12 12 $400.88

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 officialDUNCAN, GARY (VP)
Same official

Other billing entities under DUNCAN, GARY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.