NP / PA
Lawley, Grace
Lawley, Grace was paid $448K by Medicaid between Jan 2018 and Nov 2020, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
33Billing provider infoLAWLEY, GRACE
KNOXVILLE, TN 37918
KNOXVILLE, TN 37918
33aNPI1306160312assigned 03/19/2010
33bProvider typePediatric Nurse Practitioner
28Total paid$448K
24GClaims16,425
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Tennessee
Rank by total paid#11 of 70
Median peer was paid$60K
This provider vs. median7.4×
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 | 4,557 | $123K | |
| 2019 | 10,691 | $285K | |
| 2020 | 1,177 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 20% | 1,257 | 1,037 | $90K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 18% | 1,046 | 886 | $81K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 18% | 1,747 | 1,420 | $79K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 866 | 693 | $57K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 1,045 | 888 | $50K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.2% | 304 | 274 | $23K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.7% | 581 | 497 | $17K |
| 96161 | 2.4% | 755 | 571 | $11K | |
| 99177 | 1.7% | 1,103 | 947 | $7K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.6% | 878 | 719 | $7K |
| 92551 | 1.1% | 580 | 509 | $5K | |
| 83655 | <1% | 343 | 274 | $4K |
23 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 141 | $2K |
| 3008F | <1% | 766 | $2K | |
| 99381 | <1% | 29 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 117 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | $1K |
| 36416 | <1% | 750 | $1K | |
| 90716 | <1% | 189 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 60 | $730.98 |
| 90707 | <1% | 179 | $675.74 | |
| 90670 | <1% | 737 | $490.75 | |
| 96127 | <1% | 61 | $305.05 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 21 | $293.81 |
| 99173 | <1% | 45 | $282.20 | |
| 90633 | <1% | 390 | $212.75 | |
| 90696 | <1% | 31 | $137.03 | |
| 90686 | <1% | 651 | $133.50 | |
| 90647 | <1% | 527 | $104.40 | |
| 82465 | <1% | 69 | $86.82 | |
| 90680 | 0% | 464 | $0.00 | |
| 90723 | 0% | 539 | $0.00 | |
| 90700 | 0% | 22 | $0.00 | |
| 90685 | 0% | 103 | $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.