NP / PA
Cagle, Marsha
Cagle, Marsha was paid $116K by Medicaid between Jan 2018 and Dec 2020, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.
33Billing provider infoCAGLE, MARSHA
SWEETWATER, TN 37874
SWEETWATER, TN 37874
33aNPI1013916691assigned 07/18/2005
33bProvider typeNurse Practitioner
28Total paid$116K
24GClaims8,033
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Nurse Practitioner providers in Tennessee
Rank by total paid#45 of 212
Median peer was paid$17K
This provider vs. median6.9×
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 | 3,208 | $43K | |
| 2019 | 2,876 | $41K | |
| 2020 | 1,949 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 78% | 4,155 | 3,329 | $90K |
| 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 | 18% | 550 | 486 | $21K |
| 99442 | 4.0% | 391 | 330 | $5K | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 329 | 302 | $0.00 |
| 1036F | 0% | 367 | 336 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | 12 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 225 | 203 | $0.00 |
| 3017F | 0% | 105 | 101 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 81 | 71 | $0.00 |
| 4004F | 0% | 193 | 177 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 657 | 600 | $0.00 |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 100 | 92 | $0.00 |
3 more codes
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.