Gurley, Mark

Gurley, Mark was paid $233K by Medicaid between Jan 2018 and Dec 2020, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoGURLEY, MARK
KNOXVILLE, TN 37934

33aNPI1285751818assigned 03/26/2007

33bProvider typeOtolaryngology Physician

28Total paid$233K

24GClaims5,933

24DCodes billed11

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Otolaryngology Physician providers in Tennessee

Rank by total paid#6 of 28

Median peer was paid$44K

This provider vs. median5.3×

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	2,563	$84K
2019	2,115	$100K
2020	1,255	$48K

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	39%	2,663	2,369	$90K
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	21%	550	506	$50K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	14%	588	560	$32K
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	14%	634	566	$32K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	4.3%	45	40	$10K
95115		3.1%	803	297	$7K
95117		1.7%	342	129	$4K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	1.1%	15	14	$3K
92557		<1%	97	91	$2K
92567		<1%	162	153	$2K
69210		<1%	34	30	$1K

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.