Vaughn, Sandra

Vaughn, Sandra was paid $150K by Medicaid between Jan 2018 and Dec 2020, across 10 billing codes. Its largest line is 17110, — 32% of everything it billed.

33Billing provider infoVAUGHN, SANDRA
KNOXVILLE, TN 37920

33aNPI1073693206assigned 10/16/2006

33bProvider typeDermatology Physician

28Total paid$150K

24GClaims3,983

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Dermatology Physician providers in Tennessee

Rank by total paid#14 of 42

Median peer was paid$55K

This provider vs. median2.7×

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	1,813	$68K
2019	1,321	$52K
2020	849	$31K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
17110		32%	1,049	933	$48K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	32%	1,204	1,144	$48K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24%	1,117	1,053	$37K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.4%	299	272	$7K
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	2.9%	123	117	$4K
11100		2.6%	97	82	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.5%	39	35	$2K
17000		<1%	29	26	$826.47
11102		<1%	12	12	$500.54
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	14	13	$94.97

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.