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    OpenPayerNPI Medicare & MedicaidWest Tennessee Bone And Joint Clinic PC
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    West Tennessee Bone And Joint Clinic PC — Billing Profile & Reimbursement Data

    NPI 1831312461 · Jackson, TN · Specialist

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    West Tennessee Bone And Joint Clinic PC is a specialist provider located in Jackson, Tennessee. This profile covers 0 Medicare and 41 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationWest Tennessee Bone And Joint Clinic PC
    Address50 Capital Ave
    CityJackson
    StateTN
    ZIP38305
    TaxonomySpecialist
    NPI EnumeratedApril 11, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$2.1M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    41 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…35,960$20$719.2K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…11,320$40$486.6K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…14,370$20$330.5K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…2,100$50$113.5K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…3,400$20$74.8K
    73130In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.5,710$10$68.5K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…3,070$20$61.3K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…2,660$20$53.1K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…480$70$35.1K
    J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg110$250$28K

    Showing 1–10 of 41

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Tennessee median

    41 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.2953401,400$40$354.2K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…2283,760610$40$202.3K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1234,050620$30$183.9K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…1143501,060$30$173.8K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…841,080120$80$90.7K
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…103170530$10$67.8K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…5160150$80$57.9K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…191,240120$60$53.1K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).1240210$90$49.7K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…1150120$110$42.7K

    Showing 1–10 of 41

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with West Tennessee Bone And Joint Clinic PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shane DunawayTNNurse Practitioner$641.4K$0
    Eric HombergTNPain Medicine (Anesthesiology) Physician$515K$0
    Kelly PucekTNOrthopaedic Surgery Physician$468.8K$0
    William SeelyTNInterventional Pain Medicine Physician$409K$0
    David SickleTNSports Medicine (Orthopaedic Surgery) Physician$294K$10K
    Jason HutchisonTNOrthopaedic Surgery Physician$243.9K$25.9K
    William RagonTNOrthopaedic Surgery Physician$227.7K$0
    Leigh BrandeberryTNAcute Care Nurse Practitioner$219K$0
    John HaltomTNSports Medicine (Orthopaedic Surgery) Physician$207.9K$0
    Gerald ChandlerTNOrthopaedic Surgery Physician$192K$0

    Nearby Providers

    Other providers in the same ZIP code as West Tennessee Bone And Joint Clinic PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Staffco Of Southwest Tn, LLC. Dba At Home Healthcare Of Southwest TnTNIn Home Supportive Care Agency$0$32.3M
    Madison Haywood County Developmental Services, IncTNDevelopmentally Disabled Services Day Training Agency$0$23M
    Loving Arms, LLCTNHome Health Agency$0$13.3M
    Impact Healthcare, PLLCTNAddiction Medicine (Family Medicine) Physician$0$10.1M
    Encare, LLC.TNIn Home Supportive Care Agency$0$9.1M
    George M Short Dds Ms PCTNPediatric Dentistry$0$8.7M
    Jackson Clinic PATNInternal Medicine Physician$0$7.9M
    Family Care Walk In Clinic, Inc.TNFamily Medicine Physician$0$6.2M
    Jackson Radiology Associates PATNDiagnostic Radiology Physician$0$4.4M
    Therapy & Learning Center IncTNRehabilitation Clinic/Center$0$4.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    West Tennessee Bone And Joint Clinic PC — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee