Whetstone, Andrew

Whetstone, Andrew was paid $25K by Medicaid between May 2020 and Mar 2023, across 4 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 51% of everything it billed.

33Billing provider infoWHETSTONE, ANDREW
DANVERS, MA 01923

33aNPI1073793444assigned 11/14/2007

33bProvider typeFamily Nurse Practitioner

28Total paid$25K

24GClaims721

24DCodes billed4

24AFirst – last monthMay 2020 – Mar 2023

Compared with peers

Next to other Family Nurse Practitioner providers in Massachusetts

Rank by total paid#82 of 327

Median peer was paid$5K

This provider vs. median4.6×

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
2020	289	$9K
2021	235	$8K
2022	181	$7K
2023	16	$794.40

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	51%	443	439	$13K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	42%	213	211	$10K
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	4.0%	13	13	$984.36
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	3.3%	52	52	$811.20

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.