Bristol Surgical Associates PC

Bristol Surgical Associates PC was paid $213K by Medicaid between Jan 2018 and Aug 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoBRISTOL SURGICAL ASSOCIATES PC
BRISTOL, TN 37620

33aNPI1811066947assigned 11/06/2006

33bProvider typeSurgery Physician

28Total paid$213K

24GClaims13,447

24DCodes billed9

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Surgery Physician providers in Tennessee

Rank by total paid#12 of 87

Median peer was paid$9K

This provider vs. median23×

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	1,597	$14K
2019	2,364	$32K
2020	1,871	$29K
2021	2,348	$41K
2022	2,173	$37K
2023	2,219	$43K
2024incomplete	875	$17K

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	39%	4,096	2,412	$83K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	32%	7,734	3,307	$69K
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	8.4%	260	228	$18K
99223	Prolong inpt eval add15 m	5.7%	157	144	$12K
99231	Subsequent hospital care, per day, straightforward or low complexity	5.1%	667	271	$11K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	4.5%	391	162	$10K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.3%	116	102	$5K
47562		2.1%	13	12	$4K
99222	Initial hospital care, per day, moderate complexity	<1%	13	13	$772.58

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 officialBORDERS, JOHNNA (ADMINISTRATOR)