Knoxville Heart Group, INC.

Knoxville Heart Group, INC. was paid $328K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoKNOXVILLE HEART GROUP, INC.
KNOXVILLE, TN 37916

33aNPI1710218508assigned 01/19/2010

33bProvider typeCardiovascular Disease Physician

28Total paid$328K

24GClaims14,893

24DCodes billed23

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Tennessee

Rank by total paid#18 of 136

Median peer was paid$21K

This provider vs. median15×

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	1,101	$22K
2019	1,681	$34K
2020	1,241	$28K
2021	2,333	$33K
2022	2,780	$48K
2023	2,659	$60K
2024incomplete	3,098	$104K

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	50%	5,805	4,705	$165K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	26%	2,314	2,036	$84K
93000		3.7%	1,346	1,033	$12K
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	3.2%	145	110	$10K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	2.8%	353	118	$9K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.7%	680	573	$9K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	2.0%	2,393	1,391	$6K
99205	Prolong outpt/office vis	1.7%	37	25	$6K
93296		1.5%	596	505	$5K
99223	Prolong inpt eval add15 m	1.5%	127	114	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.4%	189	162	$5K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	1.4%	173	151	$5K

11 more codes

93018		<1%	258	$2K
93016		<1%	172	$1K
93295		<1%	92	$1K
99215	Doctor's office visit, returning patient (complex)	<1%	17	$847.28
93294		<1%	46	$359.41
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	55	$334.06
93272		<1%	15	$269.25
99222	Initial hospital care, per day, moderate complexity	<1%	13	$246.77
93298		<1%	13	$198.06
93297		<1%	14	$119.56
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%	40	$115.88

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 officialBRENT, ROBERT (VP OPERATIONS)

Parent organizationCOVENANT MEDICAL GROUP, INC