Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Elizabethton › NPI 1154423275
Physician

May, Andrew

May, Andrew was paid $396K by Medicaid between Jan 2018 and Sep 2021, across 51 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 35% of everything it billed.

33Billing provider infoMAY, ANDREW
ELIZABETHTON, TN 37643
33aNPI1154423275assigned 09/01/2006
28Total paid$396K
24GClaims28,335
24DCodes billed51
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#120 of 754
Median peer was paid$34K
This provider vs. median12×

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$20K$40K$60K2018201920202021202220232024
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
201811,789$155K
201914,206$208K
20202,251$33K
202189$309.57
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90460 Immunization administration through 18 years of age via any route, first or only component 35% 5,830 5,322 $140K
99401 11% 1,577 1,437 $43K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8.1% 478 448 $32K
83655 6.1% 1,818 1,644 $24K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.2% 282 268 $21K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.7% 320 266 $19K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3.3% 941 820 $13K
99384 3.1% 174 150 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3.0% 780 668 $12K
99402 2.9% 283 210 $12K
99383 2.9% 162 143 $11K
81025 2.9% 2,048 1,703 $11K
39 more codes
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.9% 126 $8K
92551 1.5% 754 $6K
85018 <1% 1,085 $3K
90651 <1% 367 $3K
90716 <1% 376 $3K
Q3014 Telehealth originating site facility fee <1% 167 $2K
99201 <1% 118 $2K
90707 <1% 390 $2K
36416 <1% 1,112 $2K
99213 Doctor's office visit, returning patient (routine) <1% 53 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 693 $2K
99177 <1% 277 $2K
99173 <1% 187 $1K
90734 <1% 246 $1K
99203 Doctor's office visit, new patient (routine) <1% 23 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 186 $1K
90688 <1% 166 $940.00
90715 <1% 245 $695.68
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 32 $675.34
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 19 $672.34
90632 <1% 14 $573.27
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 58 $569.73
94250 <1% 32 $567.16
T2028 Specialized supply, not otherwise specified, waiver <1% 14 $432.25
90633 <1% 510 $203.22
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 13 $168.35
36415 Collection of venous blood by venipuncture <1% 49 $144.52
90696 <1% 169 $120.00
87210 <1% 29 $118.01
87400 <1% 13 $89.76
99071 <1% 14 $50.00
90698 0% 217 $0.00
90744 0% 54 $0.00
90686 0% 3,882 $0.00
90723 0% 64 $0.00
90461 0% 1,308 $0.00
90648 0% 67 $0.00
90670 0% 463 $0.00
90681 0% 50 $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.