NP / PA
Clinton, Martha
Clinton, Martha was paid $23K by Medicaid between Feb 2018 and Sep 2023, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.
33Billing provider infoCLINTON, MARTHA
SEVIERVILLE, TN 37862
SEVIERVILLE, TN 37862
33aNPI1245237726assigned 06/30/2005
33bProvider typeFamily Nurse Practitioner
28Total paid$23K
24GClaims2,815
24DCodes billed14
24AFirst – last monthFeb 2018 – Sep 2023
Compared with peers
Next to other Family Nurse Practitioner providers in Tennessee
Rank by total paid#301 of 687
Median peer was paid$15K
This provider vs. median1.6×
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 | 454 | $4K | |
| 2019 | 624 | $8K | |
| 2020 | 141 | $205.10 | |
| 2021 | 828 | $5K | |
| 2022 | 317 | $3K | |
| 2023 | 451 | $3K |
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 | 72% | 481 | 403 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.9% | 80 | 79 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.9% | 15 | 14 | $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 | 3.6% | 14 | 13 | $837.24 |
| 3008F | 2.9% | 807 | 686 | $690.00 | |
| 36415 | Collection of venous blood by venipuncture | 2.2% | 558 | 467 | $524.48 |
| 96127 | 2.1% | 140 | 113 | $497.22 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 14 | 14 | $368.07 |
| 1159F | 1.1% | 183 | 158 | $260.00 | |
| 96160 | <1% | 12 | 12 | $156.54 | |
| 99072 | 0% | 383 | 290 | $0.00 | |
| 99499 | 0% | 62 | 37 | $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.