Scott O Caudle

Scott O Caudle was paid $476K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoSCOTT O CAUDLE
ELIZABETHTON, TN 37643

33aNPI1396943841assigned 07/06/2007

33bProvider typeNurse Practitioner

28Total paid$476K

24GClaims36,459

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Nurse Practitioner providers in Tennessee

Rank by total paid#16 of 212

Median peer was paid$17K

This provider vs. median28×

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	4,501	$60K
2019	3,814	$59K
2020	5,690	$76K
2021	8,297	$105K
2022	5,557	$69K
2023	4,959	$62K
2024incomplete	3,641	$45K

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	60%	12,705	6,768	$284K
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	16%	3,284	2,541	$75K
90853	Group psychotherapy (other than of a multiple-family group)	14%	5,132	2,591	$66K
80305		7.3%	8,842	4,122	$35K
99490	Ccm add 20min	2.7%	5,661	4,793	$13K
99406		<1%	626	547	$3K
90686		<1%	125	124	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	27	27	$236.48
95923		<1%	14	12	$47.90
G0008	Administration of influenza virus vaccine	<1%	43	43	$13.12

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.

From NPPES

Who's on the registration

Authorized officialCAUDLE, SCOTT (OWNER DOCTOR)