April, Carmen
April, Carmen was paid $17K by Medicaid between Jan 2018 and Oct 2023, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.
33Billing provider infoAPRIL, CARMEN
MADISON, TN 37115
MADISON, TN 37115
33aNPI1205038403assigned 06/01/2007
33bProvider typeFoot & Ankle Surgery Podiatrist
28Total paid$17K
24GClaims849
24DCodes billed3
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Foot & Ankle Surgery Podiatrist providers in Tennessee
Rank by total paid#37 of 66
Median peer was paid$21K
This provider vs. median0.8×
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 | 194 | $5K | |
| 2019 | 180 | $4K | |
| 2020 | 149 | $3K | |
| 2021 | 170 | $2K | |
| 2022 | 93 | $2K | |
| 2023 | 63 | $1K |
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 | 88% | 761 | 673 | $15K |
| L1930 | Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment | 7.7% | 30 | 12 | $1K |
| 11056 | 4.1% | 58 | 51 | $702.45 |
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.