Premier Orthopaedics & Sports Medicine PLC
Premier Orthopaedics & Sports Medicine PLC was paid $1.99M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 22% of everything it billed.
33Billing provider infoPREMIER ORTHOPAEDICS & SPORTS MEDICINE PLC
NASHVILLE, TN 37203
NASHVILLE, TN 37203
33aNPI1972577351assigned 02/14/2006
33bProvider typePhysical Therapist
28Total paid$1.99M
24GClaims62,594
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physical Therapist providers in Tennessee
Rank by total paid#7 of 136
Median peer was paid$28K
This provider vs. median70×
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 | 2,409 | $77K | |
| 2019 | 3,425 | $117K | |
| 2020 | 5,125 | $149K | |
| 2021 | 12,184 | $351K | |
| 2022 | 13,152 | $404K | |
| 2023 | 15,661 | $512K | |
| 2024incomplete | 10,638 | $377K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 22% | 20,012 | 5,886 | $446K |
| 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 | 21% | 10,063 | 7,718 | $425K |
| 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 | 17% | 4,493 | 3,630 | $336K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 8,796 | 6,774 | $242K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.8% | 3,243 | 2,718 | $174K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.0% | 1,522 | 1,174 | $99K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 2.8% | 3,296 | 973 | $57K |
| 73610 | 1.6% | 2,481 | 1,622 | $32K | |
| 73630 | 1.4% | 2,045 | 1,294 | $28K | |
| 95886 | 1.3% | 290 | 251 | $26K | |
| 20610 | 1.1% | 748 | 527 | $23K | |
| 72100 | <1% | 808 | 650 | $14K |
33 more codes
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 880 | $13K |
| 99205 | Prolong outpt/office vis | <1% | 144 | $12K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 573 | $9K |
| 73110 | <1% | 424 | $7K | |
| 72110 | <1% | 249 | $7K | |
| 97161 | <1% | 145 | $6K | |
| 73564 | <1% | 260 | $5K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 113 | $4K |
| 62323 | <1% | 56 | $4K | |
| 20552 | <1% | 71 | $2K | |
| 72040 | <1% | 125 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 164 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 39 | $2K |
| 73140 | <1% | 95 | $1K | |
| 20611 | <1% | 67 | $1K | |
| 29405 | <1% | 29 | $983.48 | |
| 73562 | <1% | 57 | $957.93 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 219 | $954.99 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 166 | $609.53 |
| Q4038 | Cast supplies, short leg cast, adult (11 years +), fiberglass | <1% | 30 | $607.67 |
| 73130 | <1% | 50 | $557.67 | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 19 | $529.17 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 184 | $529.03 |
| 97162 | <1% | 13 | $355.23 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 50 | $332.47 |
| 76000 | <1% | 59 | $256.54 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 165 | $201.97 |
| 73030 | <1% | 23 | $187.11 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $166.06 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 35 | $133.95 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 45 | $28.07 |
| 1124F | 0% | 100 | $0.00 | |
| 1123F | 0% | 135 | $0.00 |
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 officialFROMKIN, AMANDA (DIRECTOR OF CREDENTIALING)