OIG excluded
Stanton, John
Stanton, John was paid $6.17 by Medicaid between Nov 2018 and Sep 2020, across 9 billing codes. Its largest line is J3300, Injection, triamcinolone acetonide, preservative free, 1 mg — 41% of everything it billed.
33Billing provider infoSTANTON, JOHN
CLARKSVILLE, TN 37040
CLARKSVILLE, TN 37040
33aNPI1245233063assigned 05/24/2005
33bProvider typeSpecialist
28Total paid$6.17
24GClaims809
24DCodes billed9
24AFirst – last monthNov 2018 – Sep 2020
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#245 of 252
Median peer was paid$57K
This provider vs. median0.0×
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 (10/19/2023).
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 | 612 | $3.65 | |
| 2019 | 152 | $0.00 | |
| 2020 | 45 | $2.52 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J3300 | Injection, triamcinolone acetonide, preservative free, 1 mg | 41% | 13 | 12 | $2.52 |
| 96120 | 37% | 85 | 80 | $2.30 | |
| 96103 | 22% | 85 | 80 | $1.35 | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 0% | 99 | 94 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 233 | 206 | $0.00 |
| 96146 | 0% | 15 | 15 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 12 | 12 | $0.00 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 133 | 122 | $0.00 |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed | 0% | 134 | 122 | $0.00 |
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.