Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Mcdaniel, Gwendolyn

Mcdaniel, Gwendolyn was paid $137K by Medicaid between Jan 2018 and Nov 2020, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoMCDANIEL, GWENDOLYN
NEWPORT, TN 37821
33aNPI1275548851assigned 07/30/2006
33bProvider typeNurse Practitioner
28Total paid$137K
24GClaims6,030
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers

Next to other Nurse Practitioner providers in Tennessee

Rank by total paid#39 of 212
Median peer was paid$17K
This provider vs. median8.1×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20182,026$48K
20192,961$64K
20201,043$24K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48% 2,288 1,745 $65K
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 35% 1,262 993 $47K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 9.0% 940 639 $12K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 2.4% 217 175 $3K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.7% 44 36 $2K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.0% 23 18 $1K
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% 16 15 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 106 89 $879.54
36415 Collection of venous blood by venipuncture <1% 468 369 $558.98
90686 <1% 73 57 $457.08
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 21 15 $338.49
99401 <1% 20 14 $247.83
8 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 36 $241.78
99490 Ccm add 20min <1% 181 $227.15
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 38 $225.06
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 109 $172.96
96127 <1% 39 $160.77
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 77 $40.15
81003 <1% 17 $21.88
99072 0% 55 $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.