Spivey, Ethel
Spivey, Ethel was paid $2K by Medicaid between Sep 2020 and Nov 2020, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoSPIVEY, ETHEL
COVINGTON, TN 38019
COVINGTON, TN 38019
33aNPI1447261797assigned 08/11/2006
33bProvider typeRegistered Nurse
28Total paid$2K
24GClaims196
24DCodes billed4
24AFirst – last monthSep 2020 – Nov 2020
Compared with peers
Next to other Registered Nurse providers in Tennessee
Rank by total paid#48 of 79
Median peer was paid$5K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2020 | 196 | $2K |
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 | 50% | 77 | 72 | $1K |
| 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 | 41% | 44 | 44 | $906.23 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 8.6% | 39 | 39 | $188.88 |
| 36415 | Collection of venous blood by venipuncture | <1% | 36 | 36 | $18.28 |
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.