Falkenberry, Stephen

Falkenberry, Stephen was paid $190K by Medicaid between Feb 2020 and Apr 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

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
2020	601	$28K
2021	1,285	$54K
2022	1,565	$55K
2023	1,163	$42K
2024incomplete	281	$10K

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	61%	2,728	2,424	$116K
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%	437	420	$26K
G0467	Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit	7.3%	77	64	$14K
80053	Comprehensive metabolic panel	6.8%	590	553	$13K
83036	Hemoglobin; glycosylated (A1C)	2.3%	194	180	$4K
80061	Lipid panel	2.1%	126	122	$4K
36415	Collection of venous blood by venipuncture	2.0%	339	303	$4K
85027		1.7%	172	165	$3K
99442		<1%	61	51	$2K
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	<1%	15	15	$839.75
84443	Thyroid stimulating hormone (TSH)	<1%	17	15	$765.88
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	71	70	$687.70

4 more codes

86803		<1%	13	$583.34
90480		<1%	12	$496.48
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	28	$480.47
80048	Basic metabolic panel (calcium, ionized)	<1%	15	$226.23

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.