NP / PA
Cathey, Mary
Cathey, Mary was paid $288K by Medicaid between Jan 2018 and Dec 2020, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoCATHEY, MARY
KNOXVILLE, TN 37916
KNOXVILLE, TN 37916
33aNPI1083745459assigned 03/08/2007
33bProvider typePediatric Nurse Practitioner
28Total paid$288K
24GClaims8,169
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Tennessee
Rank by total paid#15 of 70
Median peer was paid$60K
This provider vs. median4.8×
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 | 1,091 | $45K | |
| 2019 | 3,983 | $133K | |
| 2020 | 3,095 | $110K |
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 | 46% | 2,577 | 2,285 | $132K |
| 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 | 18% | 664 | 581 | $52K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 855 | 772 | $39K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.1% | 293 | 274 | $23K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.4% | 159 | 151 | $13K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 115 | 106 | $8K |
| 92551 | 1.3% | 430 | 379 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 275 | 235 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 330 | 277 | $2K |
| 3008F | <1% | 617 | 556 | $2K | |
| 99173 | <1% | 410 | 361 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 147 | 134 | $2K |
16 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 38 | $1K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 13 | $922.23 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 36 | $831.39 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 39 | $600.74 |
| 96161 | <1% | 31 | $485.29 | |
| 36416 | <1% | 410 | $452.02 | |
| 87081 | <1% | 99 | $441.04 | |
| 99177 | <1% | 27 | $169.70 | |
| 90686 | <1% | 350 | $111.25 | |
| 81003 | <1% | 28 | $51.93 | |
| 90670 | 0% | 110 | $0.00 | |
| 90633 | 0% | 15 | $0.00 | |
| 90723 | 0% | 32 | $0.00 | |
| 90647 | 0% | 42 | $0.00 | |
| 90680 | 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.