Lambert, Heather

Lambert, Heather was paid $126K by Medicaid between Jan 2018 and Dec 2020, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.

33Billing provider infoLAMBERT, HEATHER
GORDONSVILLE, TN 38563

33aNPI1023099074assigned 11/08/2005

33bProvider typeWomen's Health Nurse Practitioner

28Total paid$126K

24GClaims4,104

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Women's Health Nurse Practitioner providers in Tennessee

Rank by total paid#1 of 19

Median peer was paid$3K

This provider vs. median37×

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	1,568	$49K
2019	1,554	$45K
2020	982	$32K

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	68%	2,163	1,873	$86K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	23%	819	718	$29K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	6.3%	668	530	$8K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.1%	161	131	$1K
90686		<1%	116	90	$918.06
90674		<1%	43	32	$518.05
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	38	18	$406.22
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	12	12	$54.04
81002		<1%	33	26	$31.94
G0008	Administration of influenza virus vaccine	<1%	51	45	$0.71

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.