Heath, Mary

Heath, Mary was paid $437K by Medicaid between Jan 2018 and Dec 2020, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.

33Billing provider infoHEATH, MARY
WINCHESTER, TN 37398

33aNPI1164518569assigned 10/04/2006

33bProvider typePediatrics Physician

28Total paid$437K

24GClaims16,251

24DCodes billed35

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Pediatrics Physician providers in Tennessee

Rank by total paid#114 of 333

Median peer was paid$139K

This provider vs. median3.1×

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	5,258	$128K
2019	6,594	$188K
2020	4,399	$122K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	35%	2,451	2,106	$155K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	1,773	1,583	$73K
90460	Immunization administration through 18 years of age via any route, first or only component	9.6%	1,986	1,006	$42K
96160		6.6%	1,694	931	$29K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.8%	379	313	$25K
96110	Developmental screening, with scoring and documentation, per standardized instrument	5.4%	888	683	$24K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.0%	321	260	$22K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	2.8%	716	582	$12K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.4%	177	147	$11K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.8%	112	99	$8K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.8%	275	227	$8K
96127		1.4%	1,484	1,166	$6K

23 more codes

87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	326	$4K
99215	Doctor's office visit, returning patient (complex)	<1%	35	$3K
92551		<1%	325	$2K
69210		<1%	50	$2K
87631		<1%	33	$2K
99238	Hospital discharge day management, 30 minutes or less	<1%	37	$2K
99460		<1%	31	$2K
99173		<1%	232	$1K
99177		<1%	194	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	137	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	37	$394.83
90686		<1%	592	$377.41
94760		<1%	615	$203.01
81003		<1%	94	$184.42
92558		<1%	43	$175.77
85018		<1%	59	$122.22
36416		<1%	60	$104.69
36415	Collection of venous blood by venipuncture	<1%	33	$82.48
3008F		<1%	18	$62.86
90648		<1%	50	$21.23
99072		<1%	342	$7.00
99000		0%	594	$0.00
90670		0%	58	$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.