NP / PA
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
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
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 | 2,026 | $48K | |
| 2019 | 2,961 | $64K | |
| 2020 | 1,043 | $24K |
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 | 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.