Physician
Raffanti, Stephen
Raffanti, Stephen was paid $36K by Medicaid between Jan 2018 and Sep 2020, across 4 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 87% of everything it billed.
33Billing provider infoRAFFANTI, STEPHEN
NASHVILLE, TN 37232
NASHVILLE, TN 37232
33aNPI1285617332assigned 11/22/2005
33bProvider typeInfectious Disease Physician
28Total paid$36K
24GClaims786
24DCodes billed4
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Infectious Disease Physician providers in Tennessee
Rank by total paid#15 of 35
Median peer was paid$31K
This provider vs. median1.1×
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 | 372 | $19K | |
| 2019 | 309 | $14K | |
| 2020 | 105 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 87% | 554 | 472 | $31K |
| 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 | 10% | 112 | 100 | $4K |
| 90686 | 2.5% | 90 | 76 | $881.67 | |
| G0008 | Administration of influenza virus vaccine | 0% | 30 | 30 | $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.