Physician
Edmunds Gastroenterology, PLLC
Edmunds Gastroenterology, PLLC was paid $380K by Medicaid between Jun 2019 and Dec 2024, across 15 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 32% of everything it billed.
33Billing provider infoEDMUNDS GASTROENTEROLOGY, PLLC
KNOXVILLE, TN 37909
KNOXVILLE, TN 37909
33aNPI1972084069assigned 08/27/2018
33bProvider typeGastroenterology Physician
28Total paid$380K
24GClaims8,376
24DCodes billed15
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Tennessee
Rank by total paid#8 of 50
Median peer was paid$19K
This provider vs. median20×
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 | |
|---|---|---|---|
| 2019 | 136 | $4K | |
| 2020 | 566 | $20K | |
| 2021 | 892 | $24K | |
| 2022 | 1,744 | $66K | |
| 2023 | 2,805 | $145K | |
| 2024incomplete | 2,233 | $121K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 32% | 1,602 | 1,118 | $120K |
| 43249 | 16% | 278 | 150 | $60K | |
| 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 | 11% | 1,214 | 1,042 | $43K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 10% | 1,380 | 1,167 | $39K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.5% | 950 | 807 | $29K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 7.3% | 182 | 158 | $28K |
| 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 | 7.0% | 322 | 292 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.1% | 618 | 513 | $12K |
| 88342 | 2.2% | 931 | 784 | $9K | |
| 88313 | 1.5% | 667 | 572 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 111 | 97 | $3K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 13 | 12 | $2K |
3 more codes
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 officialJENKINS, PAT (CREDENTIALING SPECIALIST)