Converse, Hilary

Converse, Hilary was paid $39K by Medicaid between Jan 2018 and Jun 2020, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 66% of everything it billed.

33Billing provider infoCONVERSE, HILARY
NASHVILLE, TN 37232

33aNPI1174942668assigned 04/10/2014

33bProvider typeGerontology Nurse Practitioner

28Total paid$39K

24GClaims877

24DCodes billed4

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Gerontology Nurse Practitioner providers in Tennessee

Rank by total paid#4 of 11

Median peer was paid$791.43

This provider vs. median50×

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	288	$15K
2019	415	$18K
2020	174	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	66%	509	488	$26K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	20%	203	199	$8K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	10%	135	125	$4K
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	4.3%	30	30	$2K

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.