Physician
Pulmonary Associates of East Tennessee, P.C.
Pulmonary Associates of East Tennessee, P.C. was paid $352K by Medicaid between Jan 2018 and Jul 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoPULMONARY ASSOCIATES OF EAST TENNESSEE, P.C.
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
33aNPI1982640827assigned 06/21/2006
33bProvider typePulmonary Disease Physician
28Total paid$352K
24GClaims20,194
24DCodes billed26
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Tennessee
Rank by total paid#7 of 62
Median peer was paid$26K
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 | 2,431 | $36K | |
| 2019 | 2,146 | $37K | |
| 2020 | 1,397 | $29K | |
| 2021 | 3,411 | $62K | |
| 2022 | 3,486 | $72K | |
| 2023 | 4,187 | $72K | |
| 2024incomplete | 3,136 | $44K |
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 | 33% | 7,036 | 5,497 | $116K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 21% | 4,859 | 2,103 | $75K |
| 95806 | 9.4% | 697 | 601 | $33K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 7.9% | 392 | 349 | $28K |
| 99223 | Prolong inpt eval add15 m | 6.5% | 530 | 452 | $23K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.2% | 1,175 | 636 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 1,644 | 1,303 | $16K |
| 95811 | 4.3% | 245 | 216 | $15K | |
| 94726 | 1.9% | 855 | 697 | $7K | |
| 94729 | 1.8% | 881 | 713 | $6K | |
| 94010 | <1% | 610 | 517 | $3K | |
| 99406 | <1% | 749 | 555 | $2K |
14 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 49 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 48 | $1K |
| 94060 | <1% | 57 | $718.04 | |
| 94680 | <1% | 40 | $547.97 | |
| 99442 | <1% | 44 | $410.50 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $350.60 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 63 | $332.06 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $301.64 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 16 | $282.54 |
| 99443 | <1% | 20 | $191.71 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 64 | $141.34 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 32 | $126.88 |
| 94664 | <1% | 12 | $56.65 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 45 | $15.56 |
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 officialFARROW, JEFF (PRESIDENT)