Higby, Nicholas

Higby, Nicholas was paid $286K by Medicaid between Jan 2018 and Nov 2020, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 41% of everything it billed.

33Billing provider infoHIGBY, NICHOLAS
NASHVILLE, TN 37232

33aNPI1407017312assigned 06/23/2008

33bProvider typePediatric Emergency Medicine (Pediatrics) Physician

28Total paid$286K

24GClaims3,045

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Pediatric Emergency Medicine (Pediatrics) Physician providers in Tennessee

Rank by total paid#2 of 6

Median peer was paid$28K

This provider vs. median10×

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	1,374	$125K
2019	1,046	$97K
2020	625	$64K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	41%	748	677	$117K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	32%	1,466	1,337	$93K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	24%	665	608	$69K
99282	Emergency department visit for the evaluation and management, low to moderate severity	2.4%	166	149	$7K

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.