Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Romano, Mary

Romano, Mary was paid $120K by Medicaid between Jan 2018 and Nov 2020, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.

33Billing provider infoROMANO, MARY
NASHVILLE, TN 37232
33aNPI1093918252assigned 06/06/2007
28Total paid$120K
24GClaims3,736
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Tennessee

Rank by total paid#13 of 16
Median peer was paid$236K
This provider vs. median0.5×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20181,511$49K
20191,357$43K
2020868$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53% 1,415 1,283 $64K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 19% 265 240 $23K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 6.8% 100 82 $8K
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 6.6% 111 98 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6.4% 706 615 $8K
J1050 Injection, medroxyprogesterone acetate, 1 mg 3.1% 49 40 $4K
96127 1.4% 376 304 $2K
81025 1.1% 281 232 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 86 76 $1K
90620 <1% 15 13 $980.23
90688 <1% 204 180 $513.63
90472 Immunization administration, each additional vaccine (list separately) <1% 14 14 $155.41
3 more codes
90734 <1% 12 $114.66
90685 <1% 13 $22.47
90686 0% 89 $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.