NP / PA
Mayberry, Dixie
Mayberry, Dixie was paid $2K by Medicaid between Jul 2019 and Sep 2019, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoMAYBERRY, DIXIE
MARIETTA, GA 30060
MARIETTA, GA 30060
33aNPI1184098832assigned 11/18/2015
33bProvider typeSurgical Physician Assistant
28Total paid$2K
24GClaims31
24DCodes billed2
24AFirst – last monthJul 2019 – Sep 2019
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 | |
|---|---|---|---|
| 2019 | 31 | $2K |
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 | 51% | 19 | 17 | $1K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 49% | 12 | 12 | $1K |
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.