Spivey, Oscar

Spivey, Oscar was paid $72K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 66% of everything it billed.

33Billing provider infoSPIVEY, OSCAR
MC MINNVILLE, TN 37110

33aNPI1326146911assigned 09/20/2006

33bProvider typeUrology Physician

28Total paid$72K

24GClaims3,973

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Urology Physician providers in Tennessee

Rank by total paid#17 of 53

Median peer was paid$12K

This provider vs. median6.2×

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	945	$14K
2019	984	$17K
2020	472	$9K
2021	658	$10K
2022	457	$9K
2023	320	$10K
2024incomplete	137	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	66%	891	850	$48K
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	26%	936	835	$19K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.2%	322	291	$3K
82570		1.9%	861	741	$1K
81000		1.2%	913	786	$883.35
52000		<1%	12	12	$188.56
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	26	25	$0.00
1123F		0%	12	12	$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.