Elaina Higgins LLC

Elaina Higgins LLC was paid $51K by Medicaid between Dec 2018 and May 2022, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoELAINA HIGGINS LLC
CLARKSVILLE, TN 37043

33aNPI1457826166assigned 10/09/2018

33bProvider typeFamily Nurse Practitioner

28Total paid$51K

24GClaims1,991

24DCodes billed4

24AFirst – last monthDec 2018 – May 2022

Compared with peers

Next to other Family Nurse Practitioner providers in Tennessee

Rank by total paid#210 of 687

Median peer was paid$15K

This provider vs. median3.5×

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	14	$54.88
2019	536	$9K
2020	939	$30K
2021	489	$13K
2022	13	$8.31

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	59%	1,193	1,079	$30K
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	27%	464	418	$14K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12%	96	93	$6K
99309	Subsequent nursing facility care, per day, low to moderate complexity	2.3%	238	171	$1K

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 officialHIGGINS, ELAINA (OWNER)