Peters, Mark

Peters, Mark was paid $19K by Medicaid between Jan 2018 and Oct 2020, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.

33Billing provider infoPETERS, MARK
NASHVILLE, TN 37205

33aNPI1386686137assigned 06/12/2006

33bProvider typePulmonary Disease Physician

28Total paid$19K

24GClaims1,554

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Pulmonary Disease Physician providers in Tennessee

Rank by total paid#36 of 62

Median peer was paid$26K

This provider vs. median0.7×

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	828	$11K
2019	504	$5K
2020	222	$3K

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	42%	331	285	$8K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	232	201	$3K
94010		13%	441	387	$2K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	7.4%	57	26	$1K
94729		6.2%	256	211	$1K
99223	Prolong inpt eval add15 m	5.6%	30	26	$1K
94727		4.9%	173	144	$920.04
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.6%	17	13	$301.31
94060		<1%	17	13	$105.33

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.