Physician
East Tennessee Pulmonary Associates PC
East Tennessee Pulmonary Associates PC was paid $9K by Medicaid between Jan 2018 and Sep 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.
33Billing provider infoEAST TENNESSEE PULMONARY ASSOCIATES PC
OAK RIDGE, TN 37830
OAK RIDGE, TN 37830
33aNPI1992717599assigned 08/12/2006
33bProvider typePulmonary Disease Physician
28Total paid$9K
24GClaims2,619
24DCodes billed8
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Tennessee
Rank by total paid#39 of 62
Median peer was paid$26K
This provider vs. median0.3×
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 | 944 | $2K | |
| 2019 | 746 | $3K | |
| 2020 | 179 | $1K | |
| 2021 | 352 | $1K | |
| 2022 | 233 | $911.08 | |
| 2023 | 98 | $153.75 | |
| 2024incomplete | 67 | $492.19 |
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 | 62% | 709 | 656 | $6K |
| 94010 | 28% | 1,506 | 1,415 | $2K | |
| 94726 | 4.5% | 126 | 124 | $405.44 | |
| 94729 | 2.7% | 126 | 124 | $247.46 | |
| 71046 | Radiologic examination, chest; 2 views | 2.3% | 86 | 83 | $209.37 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 27 | 25 | $33.48 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 27 | 25 | $19.44 |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | 12 | $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 officialHUGHES, R (PRESIDENT)