Converse, George
Converse, George was paid $15K by Medicaid between Mar 2018 and Nov 2020, across 3 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 71% of everything it billed.
33Billing provider infoCONVERSE, GEORGE
MURFREESBORO, TN 37129
MURFREESBORO, TN 37129
33aNPI1447298476assigned 06/03/2006
33bProvider typeSpecialist
28Total paid$15K
24GClaims327
24DCodes billed3
24AFirst – last monthMar 2018 – Nov 2020
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#172 of 252
Median peer was paid$57K
This provider vs. median0.3×
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 | 92 | $2K | |
| 2019 | 59 | $4K | |
| 2020 | 176 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 71% | 143 | 133 | $11K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 170 | 149 | $4K |
| 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 | 3.2% | 14 | 12 | $479.75 |
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.