Fallos, Amanda

Fallos, Amanda was paid $56K by Medicaid between Jan 2020 and Dec 2020, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoFALLOS, AMANDA
HERMITAGE, TN 37076

33aNPI1225364748assigned 10/19/2009

33bProvider typeMedical Physician Assistant

28Total paid$56K

24GClaims2,834

24DCodes billed12

24AFirst – last monthJan 2020 – Dec 2020

Compared with peers

Next to other Medical Physician Assistant providers in Tennessee

Rank by total paid#18 of 62

Median peer was paid$13K

This provider vs. median4.2×

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.

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
2020	2,834	$56K

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	52%	1,038	843	$30K
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	42%	633	514	$23K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	2.8%	509	359	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	65	37	$554.21
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	94	27	$545.16
81003		<1%	281	236	$268.63
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	50	28	$241.48
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	17	12	$122.37
96127		<1%	15	15	$50.51
81002		<1%	51	38	$49.66
36415	Collection of venous blood by venipuncture	<1%	64	17	$27.72
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	17	12	$5.06

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.