Lab
Methodist Medical Center
Methodist Medical Center was paid $11.32M by Medicaid between Jan 2018 and Dec 2024, across 89 billing codes. Its largest line is 99284, emergency room visit (serious) — 33% of everything it billed.
33Billing provider infoMETHODIST MEDICAL CENTER
OAK RIDGE, TN 37831
OAK RIDGE, TN 37831
33aNPI1700870672assigned 09/07/2005
33bProvider typeClinical Medical Laboratory
28Total paid$11.32M
24GClaims243,797
24DCodes billed89
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Tennessee
Rank by total paid#12 of 70
Median peer was paid$141K
This provider vs. median80×
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 | 47,166 | $1.98M | |
| 2019 | 44,586 | $2.02M | |
| 2020 | 27,570 | $1.26M | |
| 2021 | 32,718 | $1.45M | |
| 2022 | 29,942 | $1.38M | |
| 2023 | 37,379 | $1.85M | |
| 2024incomplete | 24,436 | $1.38M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 33% | 17,165 | 15,944 | $3.71M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 23% | 17,930 | 16,807 | $2.62M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 20% | 7,273 | 6,632 | $2.27M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 4.7% | 7,520 | 1,762 | $535K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 4.5% | 1,582 | 1,262 | $507K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 3.1% | 4,092 | 3,863 | $349K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.9% | 9,857 | 9,077 | $220K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.6% | 465 | 368 | $178K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 30,679 | 28,069 | $113K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 4,936 | 4,551 | $101K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 34,270 | 30,543 | $98K |
| 80053 | Comprehensive metabolic panel | <1% | 27,834 | 24,002 | $76K |
77 more codes
| 97597 | <1% | 2,017 | $76K | |
| 84484 | <1% | 4,027 | $40K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 4,454 | $36K |
| 77336 | <1% | 1,125 | $34K | |
| 71045 | Radiologic examination, chest; single view | <1% | 4,390 | $33K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 3,499 | $30K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 634 | $29K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 6,756 | $24K |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 4,578 | $21K |
| 43248 | <1% | 69 | $21K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 836 | $19K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,251 | $16K |
| 77412 | <1% | 468 | $15K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 68 | $15K |
| 83690 | <1% | 3,909 | $13K | |
| 77386 | <1% | 110 | $12K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 135 | $11K |
| G0378 | Hospital observation service, per hour | <1% | 17 | $11K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 183 | $11K |
| 87276 | <1% | 2,548 | $11K | |
| 87275 | <1% | 2,548 | $8K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 10,217 | $7K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,264 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,850 | $5K |
| 82728 | <1% | 1,611 | $4K | |
| 84466 | <1% | 1,574 | $4K | |
| 77300 | <1% | 41 | $3K | |
| 81001 | <1% | 4,204 | $3K | |
| 84703 | <1% | 445 | $3K | |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | <1% | 32 | $2K |
| 77334 | <1% | 47 | $2K | |
| 83540 | <1% | 1,593 | $2K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 51 | $2K |
| 81003 | <1% | 2,240 | $2K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 150 | $2K |
| 82550 | <1% | 607 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 555 | $1K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 62 | $1K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 241 | $1K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 24 | $874.19 |
| 81025 | <1% | 100 | $844.51 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 246 | $798.95 |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 31 | $778.93 |
| 82553 | <1% | 501 | $710.27 | |
| 82607 | <1% | 264 | $586.36 | |
| 80061 | Lipid panel | <1% | 235 | $549.99 |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 26 | $443.04 |
| 83970 | <1% | 161 | $425.24 | |
| 87081 | <1% | 211 | $397.59 | |
| 84439 | <1% | 188 | $352.68 | |
| 82570 | <1% | 507 | $324.85 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 32 | $297.27 |
| 83735 | <1% | 122 | $234.80 | |
| 85610 | <1% | 72 | $227.89 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 146 | $227.52 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 932 | $222.63 |
| 82150 | <1% | 29 | $210.17 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 187 | $163.13 |
| 85027 | <1% | 252 | $158.55 | |
| 82043 | <1% | 466 | $155.35 | |
| 87186 | <1% | 27 | $148.19 | |
| 87522 | Neg quan hep c or qual rna | <1% | 16 | $146.90 |
| 82077 | <1% | 59 | $141.44 | |
| 84156 | <1% | 494 | $108.57 | |
| 80076 | <1% | 55 | $85.26 | |
| 82746 | <1% | 68 | $81.89 | |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 32 | $73.86 |
| 84100 | <1% | 175 | $50.16 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $44.64 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,929 | $27.19 |
| 87077 | <1% | 12 | $21.76 | |
| 82977 | <1% | 28 | $19.01 | |
| 88342 | <1% | 123 | $15.27 | |
| 86140 | <1% | 14 | $13.52 | |
| 83921 | <1% | 12 | $11.29 | |
| 83615 | <1% | 13 | $4.14 | |
| A9270 | Non-covered item or service | 0% | 987 | $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 officialCARRINGER, RICK (VP, REVENUE CYCLE)
Parent organizationCOVENANT HEALTH
| Provider | Location | Paid |
|---|---|---|
| Parkwest Medical Center | Knoxville, TN | $29.88M |
| Fort Sanders Regional Medical Center | Knoxville, TN | $26.76M |
| Leconte Medical Center | Sevierville, TN | $19.05M |
| Morristown Hamblen Hospital Association | Morristown, TN | $17.83M |
| Roane County Medical Center | Harriman, TN | $9.24M |
| Cumberland Medical Center, INC. | Crossville, TN | $6.06M |
| Fort Loudoun Medical Center | Lenoir City, TN | $5.86M |
| Claiborne Medical Center | Tazewell, TN | $3.41M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.