Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Unionville › NPI 1467604470
NP / PA

Winfrey, Mary

Winfrey, Mary was paid $105K by Medicaid between Jul 2018 and Dec 2020, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 82% of everything it billed.

33Billing provider infoWINFREY, MARY
UNIONVILLE, TN 37180
33aNPI1467604470assigned 10/21/2008
28Total paid$105K
24GClaims5,122
24DCodes billed23
24AFirst – last monthJul 2018 – Dec 2020
Compared with peers

Next to other Medical Physician Assistant providers in Tennessee

Rank by total paid#13 of 62
Median peer was paid$13K
This provider vs. median7.8×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20181,588$16K
20191,826$51K
20201,708$37K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 82% 2,581 1,714 $86K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 636 407 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.5% 267 136 $2K
90686 <1% 139 93 $782.42
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 113 84 $587.52
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 56 23 $438.56
90460 Immunization administration through 18 years of age via any route, first or only component <1% 49 38 $365.54
36415 Collection of venous blood by venipuncture <1% 299 183 $286.56
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 58 33 $256.73
81002 <1% 200 124 $164.61
4037F 0% 13 12 $0.00
1126F 0% 25 24 $0.00
11 more codes
1125F 0% 46 $0.00
3079F 0% 42 $0.00
1036F 0% 57 $0.00
3074F 0% 78 $0.00
3075F 0% 14 $0.00
1170F 0% 118 $0.00
3078F 0% 51 $0.00
1159F 0% 125 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 17 $0.00
1160F 0% 125 $0.00
4274F 0% 13 $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.