Johnson, Mary

Johnson, Mary was paid $9K by Medicaid between Jan 2018 and May 2018, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.

33Billing provider infoJOHNSON, MARY
GOODLETTSVILLE, TN 37072

33aNPI1386631729assigned 09/30/2005

33bProvider typePediatrics Physician

28Total paid$9K

24GClaims189

24DCodes billed4

24AFirst – last monthJan 2018 – May 2018

Compared with peers

Next to other Pediatrics Physician providers in Tennessee

Rank by total paid#274 of 333

Median peer was paid$139K

This provider vs. median0.1×

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	189	$9K

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	64%	105	95	$6K
90460	Immunization administration through 18 years of age via any route, first or only component	22%	44	34	$2K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	12%	16	14	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.6%	24	12	$140.89

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.