NP / PA
Madison Family Practice
Madison Family Practice was paid $2.09M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoMADISON FAMILY PRACTICE
JACKSON, TN 38305
JACKSON, TN 38305
33aNPI1407086101assigned 07/16/2009
33bProvider typeFamily Nurse Practitioner
28Total paid$2.09M
24GClaims99,449
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Tennessee
Rank by total paid#8 of 687
Median peer was paid$15K
This provider vs. median143×
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 | 16,404 | $309K | |
| 2019 | 16,056 | $305K | |
| 2020 | 12,821 | $251K | |
| 2021 | 14,884 | $328K | |
| 2022 | 15,839 | $355K | |
| 2023 | 13,457 | $308K | |
| 2024incomplete | 9,988 | $231K |
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 | 58% | 36,743 | 28,841 | $1.21M |
| 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 | 13% | 7,180 | 6,036 | $279K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.9% | 8,625 | 6,741 | $207K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 4.8% | 8,907 | 6,886 | $99K |
| 99442 | 1.2% | 1,121 | 918 | $25K | |
| 86328 | 1.2% | 638 | 552 | $25K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.1% | 600 | 561 | $22K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 2,287 | 2,092 | $22K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.0% | 567 | 486 | $21K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 341 | 323 | $21K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 809 | 767 | $20K |
| 36415 | Collection of venous blood by venipuncture | <1% | 12,294 | 10,529 | $18K |
44 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 857 | $17K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 790 | $15K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 2,057 | $10K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,639 | $8K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 715 | $8K |
| 90688 | <1% | 687 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 76 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 78 | $5K |
| 92551 | <1% | 610 | $4K | |
| 81000 | <1% | 1,766 | $3K | |
| 99441 | <1% | 203 | $3K | |
| 82947 | <1% | 1,075 | $3K | |
| 93000 | <1% | 308 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 475 | $3K |
| 81002 | <1% | 1,621 | $3K | |
| 99443 | <1% | 85 | $2K | |
| 99173 | <1% | 835 | $2K | |
| V5008 | Hearing screening | <1% | 95 | $2K |
| S0618 | Audiometry for hearing aid evaluation to determine the level and degree of hearing loss | <1% | 98 | $2K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,826 | $2K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,005 | $1K |
| 99408 | <1% | 140 | $1K | |
| 84703 | <1% | 189 | $1K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 629 | $750.24 |
| J1020 | Injection, methylprednisolone acetate, 20 mg | <1% | 62 | $696.15 |
| 81025 | <1% | 130 | $611.81 | |
| 96127 | <1% | 131 | $538.01 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 103 | $527.85 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 42 | $493.98 |
| 80305 | <1% | 47 | $315.78 | |
| 80306 | <1% | 71 | $275.94 | |
| 90658 | <1% | 27 | $117.30 | |
| G0008 | Administration of influenza virus vaccine | <1% | 131 | $102.56 |
| 94760 | <1% | 149 | $23.63 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 33 | $2.00 |
| J1094 | Injection, dexamethasone acetate, 1 mg | <1% | 196 | $0.02 |
| 3008F | 0% | 112 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 77 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 33 | $0.00 |
| 99498 | 0% | 14 | $0.00 | |
| 96160 | 0% | 25 | $0.00 | |
| 99497 | 0% | 31 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 34 | $0.00 |
| 3288F | 0% | 30 | $0.00 |
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 officialMCFARLAND, HEATHER (OWNER)