Burks, Patsy

Burks, Patsy was paid $63K by Medicaid between Jan 2018 and Aug 2020, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider infoBURKS, PATSY
LAWRENCEBURG, TN 38464

33aNPI1376646646assigned 09/05/2006

33bProvider typeFamily Nurse Practitioner

28Total paid$63K

24GClaims9,743

24DCodes billed28

24AFirst – last monthJan 2018 – Aug 2020

Compared with peers

Next to other Family Nurse Practitioner providers in Tennessee

Rank by total paid#186 of 687

Median peer was paid$15K

This provider vs. median4.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (04/20/2023).

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	6,012	$47K
2019	3,301	$11K
2020	430	$5K

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	42%	1,908	1,774	$26K
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	22%	1,066	906	$14K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	12%	945	784	$8K
95923		4.4%	223	202	$3K
93922		3.9%	222	201	$2K
95943		3.4%	218	198	$2K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2.2%	743	621	$1K
93000		1.3%	275	214	$834.90
J1000	Injection, depo-estradiol cypionate, up to 5 mg	1.3%	254	195	$826.45
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.2%	204	159	$739.69
99406		1.1%	281	246	$703.12
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	102	90	$571.24

16 more codes

69210		<1%	160	$509.62
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	304	$503.23
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	706	$458.23
81002		<1%	555	$252.10
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	65	$207.17
J2300	Injection, nalbuphine hydrochloride, per 10 mg	<1%	190	$170.36
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	608	$140.80
82962		<1%	278	$130.77
20610		<1%	24	$117.22
86580		<1%	65	$47.71
80305		<1%	39	$41.68
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	211	$37.86
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	53	$19.40
81025		<1%	12	$10.38
36415	Collection of venous blood by venipuncture	<1%	16	$5.85
96127		<1%	16	$5.70

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.