Yates, Virgil

Yates, Virgil was paid $28K by Medicaid between Jan 2018 and Mar 2020, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 93% of everything it billed.

33Billing provider infoYATES, VIRGIL
SOUTH FULTON, TN 38257

33aNPI1194831164assigned 08/22/2006

33bProvider typePediatrics Physician

28Total paid$28K

24GClaims819

24DCodes billed5

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Pediatrics Physician providers in Tennessee

Rank by total paid#231 of 333

Median peer was paid$139K

This provider vs. median0.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (11/20/2025).

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	430	$13K
2019	309	$12K
2020	80	$4K

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	93%	683	567	$26K
96110	Developmental screening, with scoring and documentation, per standardized instrument	4.0%	63	58	$1K
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	2.2%	13	13	$623.08
92551		<1%	30	27	$168.26
99173		<1%	30	27	$150.18

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.