Providers
JACOB TYLER KNIGHT
NPI 1447739891, individual, Smyrna, TN, Nurse Practitioner, Family
5
Evidence tier
informational
- Medicaid dollars per patient on code 99307 ($99 per patient-month) sit in the top 5% of every provider billing that code.
score 34 of 100, rank 10381, $220K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JACOB TYLER KNIGHT |
| Type | Individual |
| Status | Active |
| NPI issued | August 7, 2018, last updated May 29, 2025 |
| Practice location | 115 ENON SPRINGS RD E, Smyrna, TN 37167-3009, 615-459-9191 |
| Specialties | Registered Nurse (163W00000X, license 206715 TN) Nurse Practitioner, Family (363LF0000X, primary, license 24481 TN) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $222K | 44% | $99 | $14 (top 5% from $58) | 98th percentile | |
| 99284 | Emergency department visit with moderate level of medical decision making | $75K | 15% | $118 | $86 (top 5% from $224) | 75th percentile | |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $71K | 14% | $74 | $21 (top 5% from $84) | 93rd percentile | |
| 99283 | Emergency department visit with low level of medical decision making | $50K | 10% | $80 | $60 (top 5% from $193) | 63rd percentile | |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | $47K | 9% | $64 | $7.86 (top 5% from $34) | 99th percentile | |
| 99285 | Emergency department visit with high level of medical decision making | $35K | 7% | $71 | $100 (top 5% from $264) | 14th percentile | |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | $2K | 0% | $60 | $79 (top 5% from $359) | too few months to rank | |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $692 | 0% | $2.96 | $5.69 (top 5% from $25) | 30th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 18 | 16 | $1K | $150 | $100 | 1.5x | 2.3x (90th percentile 3.8x) |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 12 | 12 | $1K | $135 | $101 | 1.3x | 2.3x (90th percentile 4.1x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 22 | 17 | $1K | $100 | $71 | 1.4x | 2.2x (90th percentile 3.8x) |
| 36415 | Insertion of needle into vein for collection of blood sample | 18 | 15 | $156 | $15 | $9 | 1.7x | 2.0x (90th percentile 3.5x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
5 providers in Rutherford County, TN carry an indicator in the public record, with $3.2M at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | MURFREESBORO SNF HEALTHCARE LLC Murfreesboro, TN, ranked 1816 | $0 |
|
| 3 | SMYRNA CARE CENTER Smyrna, TN, ranked 3525 | $0 |
|
| 3 | ASERACARE HOSPICE - NEW HORIZONS, LLC Murfreesboro, TN, ranked 4901 | $0 |
|
| 4 | DEBORAH DRIGGS Murfreesboro, TN, ranked 8193 | $921K |
|
| 4 | ELIZABETH TUCKER Murfreesboro, TN, ranked 8679 | $2.2M |
|
Recent enforcement in TN
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementAug 10, 2026
Celina Pharmacy Owner/Two Pharmacies Agree to Pay $450,000 & Receive Ban on Handling Controlled Substances
The defendants knowingly dispensed controlled substances without valid prescriptions and outside the usual course of professional pharmacy practice, and falsely billed Medicare for prescriptions that were not medically necessary or otherwise eligible for reimbursement.
DOJSentencedJul 8, 2026
Memphis Gynecologist Sentenced to 20 Years in Prison for Adulterating Medical Devices and Health Care Fraud
Kumar used adulterated and unlabeled single-use and improperly reprocessed reusable hysteroscopy devices in more than 15,000 hysteroscopy with biopsy procedures and billed Medicare and Medicaid for the procedures.
DOJSentencedJun 24, 2026
Celina Pharmacy Owner Sentenced for Opioid Distribution/Health Care Fraud
The majority owner of two pharmacies conspired to unlawfully dispense controlled substances despite red flags of abuse and diversion, submitted false claims to Medicare Part D and TennCare, and paid patient co-payments, cash, and "Monkey Bucks" to increase prescription volume.
DOJChargedJun 23, 2026
Clarksville Physician Charged with Health Care Fraud Related to Controlled Substance Prescribing Scheme
Aquino owned and operated North Clarksville Medical Center and for more than five years prescribed medically unnecessary controlled substances, totaling more than 1.08 million pills and doses, that were not issued for a legitimate medical purpose in the usual course of professional practice, causing losses of approximately $335,621.73 to health care benefit programs.
DOJIndictedJun 23, 2026
Gordonsville Physician Indicted on Health Care Fraud and Controlled Substance Charges
Moss owned and operated Gordonsville Clinic and prescribed medically unnecessary controlled substances, totaling more than 5.6 million pills and doses over more than eight years, that were not issued for a legitimate medical purpose in the usual course of professional practice.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.