NP / PA
Vanderbilt Health and Williamson Medical Center Clinics and Services,
Vanderbilt Health and Williamson Medical Center Clinics and Services, was paid $1.39M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoVANDERBILT HEALTH AND WILLIAMSON MEDICAL CENTER CLINICS AND SERVICES,
FRANKLIN, TN 37064
FRANKLIN, TN 37064
33aNPI1225135551assigned 09/20/2006
33bProvider typeFamily Nurse Practitioner
28Total paid$1.39M
24GClaims24,338
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Tennessee
Rank by total paid#14 of 687
Median peer was paid$15K
This provider vs. median95×
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 | 6,659 | $372K | |
| 2019 | 3,173 | $161K | |
| 2020 | 1,503 | $72K | |
| 2021 | 3,082 | $171K | |
| 2022 | 4,309 | $289K | |
| 2023 | 3,367 | $195K | |
| 2024incomplete | 2,245 | $132K |
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 | 60% | 10,315 | 8,992 | $828K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 4,624 | 4,088 | $259K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 13% | 1,473 | 1,340 | $181K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.4% | 4,243 | 3,735 | $47K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 353 | 301 | $36K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 1,696 | 933 | $17K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 771 | 691 | $9K |
| 74018 | <1% | 200 | 191 | $3K | |
| 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 | <1% | 17 | 16 | $3K |
| 99401 | <1% | 67 | 54 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 88 | 57 | $2K |
| 0001A | <1% | 43 | 33 | $1K |
7 more codes
| 0002A | <1% | 23 | $873.82 | |
| 81002 | <1% | 283 | $481.25 | |
| 73610 | <1% | 30 | $446.13 | |
| 73630 | <1% | 15 | $243.56 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 26 | $230.17 |
| 36415 | Collection of venous blood by venipuncture | <1% | 59 | $60.95 |
| 90686 | <1% | 12 | $42.58 |
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.
From NPPES
Who's on the registration
Authorized officialGALLAGHER, DENIS (CHIEF ADMINISTRATIVE OFFICER)