Clinic
Transsouth Health Care PLLC
Transsouth Health Care PLLC was paid $1.37M by Medicaid between Jan 2018 and Feb 2024, across 10 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 61% of everything it billed.
33Billing provider infoTRANSSOUTH HEALTH CARE PLLC
JACKSON, TN 38305
JACKSON, TN 38305
33aNPI1740277821assigned 10/04/2005
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$1.37M
24GClaims9,653
24DCodes billed10
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Tennessee
Rank by total paid#10 of 91
Median peer was paid$55K
This provider vs. median25×
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 | 1,960 | $239K | |
| 2019 | 1,971 | $253K | |
| 2020 | 1,700 | $256K | |
| 2021 | 1,511 | $213K | |
| 2022 | 1,422 | $231K | |
| 2023 | 923 | $157K | |
| 2024incomplete | 166 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 61% | 4,806 | 4,666 | $841K |
| 43248 | 25% | 1,473 | 1,454 | $349K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 5.1% | 260 | 247 | $70K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 3.2% | 249 | 233 | $44K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 2.3% | 151 | 147 | $31K |
| 43450 | 2.1% | 339 | 335 | $29K | |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | <1% | 27 | 25 | $4K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 13 | 13 | $2K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 2,262 | 2,033 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 73 | 67 | $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 officialMATERNA, KRISTINA (DIRECTOR, CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Dayton Gastroenterology LLC | Dayton, OH | $3.41M |
| Gastroenterology Health Partners, PLLC | Lousiville, KY | $3.12M |
| Gastroenterology Center of the Midsouth PLLC | Germantown, TN | $886K |
| Endoscopy Center of North Mississippi,llc | Oxford, MS | $77K |
| Gastroenterology Associates Va, LLC | Gainesville, VA | $42K |
| DHS Anesthesia, LLC | Tupelo, MS | $38K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.