Tri State Mountain Neurology Associates PC

Tri State Mountain Neurology Associates PC was paid $47K by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 98% of everything it billed.

33Billing provider infoTRI STATE MOUNTAIN NEUROLOGY ASSOCIATES PC
JOHNSON CITY, TN 37604

33aNPI1801823638assigned 06/27/2006

33bProvider typeNeurology Physician

28Total paid$47K

24GClaims2,398

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Neurology Physician providers in Tennessee

Rank by total paid#33 of 83

Median peer was paid$27K

This provider vs. median1.8×

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	456	$11K
2019	404	$9K
2020	314	$6K
2021	333	$6K
2022	262	$5K
2023	337	$7K
2024incomplete	292	$4K

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	98%	2,342	2,101	$46K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.2%	56	52	$1K

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 officialWHALEY, NATHANIEL (SECRETARY)