Physician
Riley, Elly
Riley, Elly was paid $241K by Medicaid between Apr 2019 and Dec 2020, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoRILEY, ELLY
JACKSON, TN 38301
JACKSON, TN 38301
33aNPI1063649408assigned 06/12/2009
33bProvider typeFamily Medicine Physician
28Total paid$241K
24GClaims13,105
24DCodes billed43
24AFirst – last monthApr 2019 – Dec 2020
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#153 of 754
Median peer was paid$34K
This provider vs. median7.1×
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 | |
|---|---|---|---|
| 2019 | 6,699 | $93K | |
| 2020 | 6,406 | $148K |
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 | 28% | 1,961 | 1,333 | $66K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 21% | 812 | 633 | $50K |
| 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 | 14% | 832 | 527 | $34K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.5% | 345 | 238 | $20K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.8% | 835 | 550 | $16K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.0% | 1,075 | 777 | $12K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.2% | 618 | 456 | $10K |
| 96161 | 2.2% | 549 | 428 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 49 | 49 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 31 | 30 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 130 | 116 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 159 | 106 | $2K |
31 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 102 | $2K |
| 90474 | <1% | 237 | $2K | |
| 90686 | <1% | 316 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 146 | $2K |
| 81025 | <1% | 320 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 16 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $895.96 |
| 92551 | <1% | 92 | $675.74 | |
| 96160 | <1% | 31 | $450.91 | |
| 99177 | <1% | 72 | $406.39 | |
| 36416 | <1% | 398 | $356.71 | |
| 96127 | <1% | 65 | $312.49 | |
| 83655 | <1% | 29 | $311.27 | |
| 90651 | <1% | 26 | $300.00 | |
| 87210 | <1% | 83 | $273.48 | |
| 90715 | <1% | 12 | $229.28 | |
| 81001 | <1% | 308 | $191.08 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 263 | $189.05 |
| 85018 | <1% | 66 | $161.47 | |
| 3008F | <1% | 70 | $160.00 | |
| 81003 | <1% | 56 | $63.23 | |
| 81002 | <1% | 251 | $34.80 | |
| 0502F | 0% | 686 | $0.00 | |
| 90648 | 0% | 335 | $0.00 | |
| 90670 | 0% | 371 | $0.00 | |
| 90633 | 0% | 76 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 99000 | 0% | 797 | $0.00 | |
| 90680 | 0% | 238 | $0.00 | |
| 90723 | 0% | 207 | $0.00 | |
| 90716 | 0% | 12 | $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.