Physician
Misty D. Poole, MD, LLC
Misty D. Poole, MD, LLC was paid $83K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 99% of everything it billed.
33Billing provider infoMISTY D. POOLE, MD, LLC
VIDALIA, GA 30474
VIDALIA, GA 30474
33aNPI1003176546assigned 05/17/2012
33bProvider typeInternal Medicine Physician
28Total paid$83K
24GClaims20,607
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Georgia
Rank by total paid#37 of 124
Median peer was paid$11K
This provider vs. median7.5×
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 | 2,232 | $10K | |
| 2019 | 2,609 | $10K | |
| 2020 | 1,715 | $8K | |
| 2021 | 2,830 | $13K | |
| 2022 | 4,393 | $19K | |
| 2023 | 4,975 | $15K | |
| 2024incomplete | 1,853 | $7K |
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 | 99% | 3,691 | 2,076 | $83K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 83 | 53 | $875.43 |
| 1159F | 0% | 1,887 | 991 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 176 | 87 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,564 | 1,652 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 511 | 400 | $0.00 |
| 1160F | 0% | 1,887 | 991 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,290 | 853 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 1,343 | 901 | $0.00 |
| 3078F | 0% | 993 | 514 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 33 | 24 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 41 | 25 | $0.00 |
7 more codes
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 661 | $0.00 |
| G8599 | Aspirin or another antiplatelet therapy not used, reason not given | 0% | 625 | $0.00 |
| 3079F | 0% | 300 | $0.00 | |
| 1036F | 0% | 3,614 | $0.00 | |
| 3074F | 0% | 857 | $0.00 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 30 | $0.00 |
| 3075F | 0% | 21 | $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 officialPOOLE, MISTY (OWNER)