Highlands Podiatry, P.L.C.
Highlands Podiatry, P.L.C. was paid $234K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoHIGHLANDS PODIATRY, P.L.C.
BRISTOL, TN 37620
BRISTOL, TN 37620
33aNPI1750564894assigned 12/12/2007
33bProvider typePodiatrist
28Total paid$234K
24GClaims12,806
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Podiatrist providers in Tennessee
Rank by total paid#4 of 72
Median peer was paid$4K
This provider vs. median54×
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 | 1,747 | $21K | |
| 2019 | 2,516 | $63K | |
| 2020 | 1,755 | $31K | |
| 2021 | 1,755 | $38K | |
| 2022 | 1,680 | $33K | |
| 2023 | 1,815 | $32K | |
| 2024incomplete | 1,538 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 3,143 | 2,409 | $70K |
| 11721 | 21% | 6,175 | 4,808 | $50K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 736 | 635 | $31K |
| 11750 | 13% | 424 | 296 | $29K | |
| A6010 | Collagen based wound filler, dry form, sterile, per gram of collagen | 9.8% | 53 | 48 | $23K |
| 73630 | 6.7% | 1,170 | 768 | $16K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.6% | 819 | 639 | $13K |
| A4452 | Tape, waterproof, per 18 square inches | <1% | 70 | 61 | $631.37 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 21 | 13 | $521.76 |
| A6443 | Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard | <1% | 87 | 79 | $381.10 |
| 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 | <1% | 17 | 12 | $365.18 |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 91 | 81 | $315.26 |
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 officialALLEN, JOHN (CHIEF MANAGER/PODIATRIST)
| Provider | Location | Paid |
|---|---|---|
| North Augusta Pediatrics LLC | North Augusta, SC | $5.36M |
| Estill County Chiropractic, PLLC | Irvine, KY | $371K |
| Allen's Podiatry Clinic | Hammond, LA | $271K |
| Advanced Radiology of Grand Island, PC | Grand Island, NE | $133K |
| Allenmed INC. | Gilmer, TX | $5K |
| Augusta Pediatric Clinic, PC | Augusta, GA | $648.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.