Moore, Paul

Moore, Paul was paid $20K by Medicaid between Jan 2018 and Oct 2020, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoMOORE, PAUL
NASHVILLE, TN 37232

33aNPI1073600177assigned 10/09/2006

33bProvider typePediatric Pulmonology Physician

28Total paid$20K

24GClaims613

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Pediatric Pulmonology Physician providers in Tennessee

Rank by total paid#5 of 6

Median peer was paid$110K

This provider vs. median0.2×

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	241	$4K
2019	291	$11K
2020	81	$4K

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	48%	128	117	$10K
94010		25%	415	364	$5K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	15%	31	13	$3K
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%	39	37	$2K

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.