Managed care
Rocky Top Medical Center
Rocky Top Medical Center was paid $582K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoROCKY TOP MEDICAL CENTER
SEVIERVILLE, TN 37862
SEVIERVILLE, TN 37862
33aNPI1962698696assigned 09/17/2007
33bProvider typePreferred Provider Organization
28Total paid$582K
24GClaims22,938
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Preferred Provider Organization providers in Tennessee
Rank by total paid#3 of 7
Median peer was paid$281K
This provider vs. median2.1×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JOHNSON, STEVEN controls 16+ related entities in our dataset. Read more
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 | 4,686 | $82K | |
| 2019 | 3,386 | $88K | |
| 2020 | 2,909 | $85K | |
| 2021 | 3,602 | $97K | |
| 2022 | 3,028 | $83K | |
| 2023 | 2,924 | $77K | |
| 2024incomplete | 2,403 | $70K |
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 | 60% | 11,388 | 9,228 | $350K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 7,110 | 5,739 | $189K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.5% | 451 | 354 | $15K |
| 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 | 1.9% | 155 | 135 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.6% | 748 | 572 | $9K |
| 36415 | Collection of venous blood by venipuncture | <1% | 910 | 764 | $2K |
| 81003 | <1% | 1,423 | 1,169 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 42 | 38 | $947.49 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 184 | 146 | $926.89 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 12 | $702.73 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 59 | 30 | $604.21 |
| 93000 | <1% | 27 | 24 | $394.59 |
10 more codes
| 90674 | <1% | 26 | $273.77 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 49 | $197.61 |
| 90756 | <1% | 14 | $169.76 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 16 | $141.38 |
| 80305 | <1% | 14 | $122.89 | |
| Q2039 | Influenza virus vaccine, not otherwise specified | <1% | 15 | $93.56 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 34 | $91.44 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 226 | $88.51 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 17 | $39.63 |
| G0008 | Administration of influenza virus vaccine | <1% | 17 | $23.75 |
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 officialJOHNSON, STEVEN (OWNER)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.