Physician
Gastroenterology Specialists of Middle Tennessee LLC
Gastroenterology Specialists of Middle Tennessee LLC was paid $237K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 36% of everything it billed.
33Billing provider infoGASTROENTEROLOGY SPECIALISTS OF MIDDLE TENNESSEE LLC
NASHVILLE, TN 37211
NASHVILLE, TN 37211
33aNPI1831364124assigned 04/28/2008
33bProvider typeGastroenterology Physician
28Total paid$237K
24GClaims4,619
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Tennessee
Rank by total paid#10 of 50
Median peer was paid$19K
This provider vs. median13×
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 | 684 | $39K | |
| 2019 | 554 | $25K | |
| 2020 | 451 | $22K | |
| 2021 | 752 | $40K | |
| 2022 | 732 | $34K | |
| 2023 | 912 | $48K | |
| 2024incomplete | 534 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 1,238 | 1,084 | $86K |
| 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 | 30% | 1,857 | 1,557 | $72K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 22% | 728 | 572 | $51K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.4% | 511 | 445 | $13K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.8% | 45 | 25 | $7K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.8% | 48 | 41 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 192 | 175 | $4K |
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 officialRODGERS, JOHN (VICE PRESIDENT)
Parent organizationHOSPITAL CORP LLC
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.