Abril, Annette

Abril, Annette was paid $6K by Medicaid between Jan 2018 and Aug 2020, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.

33Billing provider infoABRIL, ANNETTE
KINGSPORT, TN 37660

33aNPI1013127430assigned 05/23/2007

33bProvider typeRheumatology Physician

28Total paid$6K

24GClaims999

24DCodes billed7

24AFirst – last monthJan 2018 – Aug 2020

Compared with peers

Next to other Rheumatology Physician providers in Tennessee

Rank by total paid#13 of 18

Median peer was paid$11K

This provider vs. median0.6×

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	561	$4K
2019	413	$1K
2020	25	$734.21

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	63%	139	134	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	26	26	$725.45
80053	Comprehensive metabolic panel	8.8%	168	157	$571.85
85025	Blood count; complete (CBC), automated, and automated differential WBC count	6.1%	147	138	$396.50
86140		4.6%	156	144	$298.81
85651		3.1%	155	143	$202.72
36415	Collection of venous blood by venipuncture	2.9%	208	191	$187.84

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.