Physician
Higgins, Megan
Higgins, Megan was paid $410K by Medicaid between Jan 2018 and Dec 2020, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoHIGGINS, MEGAN
PARIS, TN 38242
PARIS, TN 38242
33aNPI1447455613assigned 06/18/2007
33bProvider typePediatrics Physician
28Total paid$410K
24GClaims18,364
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#120 of 333
Median peer was paid$139K
This provider vs. median2.9×
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 | 4,173 | $92K | |
| 2019 | 6,951 | $157K | |
| 2020 | 7,240 | $161K |
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 | 36% | 3,771 | 3,188 | $146K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 1,440 | 1,281 | $54K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.4% | 658 | 578 | $39K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.0% | 590 | 513 | $37K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 8.1% | 1,437 | 1,160 | $33K |
| 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 | 5.4% | 364 | 300 | $22K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.5% | 1,290 | 556 | $14K |
| 95115 | 3.0% | 1,371 | 786 | $12K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.9% | 1,033 | 924 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 153 | 123 | $10K |
| 95117 | 1.5% | 594 | 287 | $6K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.5% | 707 | 631 | $6K |
19 more codes
| 92551 | 1.2% | 770 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 54 | $4K |
| 96161 | <1% | 162 | $2K | |
| 96127 | <1% | 359 | $2K | |
| 87807 | <1% | 217 | $2K | |
| 81003 | <1% | 859 | $2K | |
| 85018 | <1% | 304 | $638.18 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 48 | $608.03 |
| 83655 | <1% | 45 | $529.38 | |
| 96160 | <1% | 37 | $473.64 | |
| 90670 | <1% | 493 | $238.00 | |
| 90686 | <1% | 467 | $155.75 | |
| 90723 | <1% | 239 | $101.72 | |
| 99173 | <1% | 417 | $91.26 | |
| 90633 | <1% | 87 | $86.09 | |
| 90685 | 0% | 33 | $0.00 | |
| 90681 | 0% | 25 | $0.00 | |
| 90710 | 0% | 42 | $0.00 | |
| 90647 | 0% | 298 | $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.