Barnes, Mary

Barnes, Mary was paid $126K by Medicaid between Jan 2018 and Nov 2018, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.

33Billing provider infoBARNES, MARY
MARTINSVILLE, VA 24112

33aNPI1144574930assigned 11/01/2012

33bProvider typePediatrics Physician

28Total paid$126K

24GClaims3,085

24DCodes billed18

24AFirst – last monthJan 2018 – Nov 2018

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#211 of 817

Median peer was paid$29K

This provider vs. median4.3×

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	3,085	$126K

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	64%	1,369	1,289	$80K
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	10.0%	145	139	$13K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	8.4%	131	131	$11K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	4.3%	62	61	$5K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.7%	42	42	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.6%	94	93	$3K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.5%	35	35	$3K
90686		1.2%	128	128	$2K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	76	75	$1K
85018		<1%	364	364	$1K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	21	21	$846.93
81000		<1%	191	191	$727.16

6 more codes

99173	<1%	277	$686.35
90672	<1%	17	$391.88
90734	<1%	14	$275.89
90688	<1%	21	$248.66
81003	<1%	15	$40.95
99051	<1%	83	$37.50

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.